Atlanta Vanguard Medical Associates Pc
LBN: Atlanta Vanguard Medical Associates Pc
Atlanta Vanguard Medical Associates Pc is an health care organization with primary practice located at 3692 Highlands Pkwy Se , Smyrna GA 30082-5184. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Atlanta Vanguard Medical Associates Pc can be contacted via phone (678) 305-1700, or through Morris, Michael T. via phone (678) 305-1700.
Contact Information
Primary practice address
3692 Highlands Pkwy Se
Smyrna GA 30082-5184
Phone: (678) 305-1700
Fax: (678) 766-1744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Georgia | |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | Georgia |
Profile Details
| NPI number | 1164773164 |
|---|---|
| LBN Legal business name | Atlanta Vanguard Medical Associates Pc |
| DBA Doing business as | |
| Authorized official | Morris, Michael T. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 1st, 2012 |
| Last updated | Jan 25th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164773164 | NPPES |
| Georgia | MEDICAID | 003129899A |
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