Care Medical Of Georgia

LBN: Care Medical Of Georgia
Care Medical Of Georgia is an health care organization with primary practice located at 1572 Highway 85N Suite 505, Fayetteville GA 30214-7729. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Care Medical Of Georgia can be contacted via phone (678) 228-2849, or through Phillips, Tandra Davis via phone (404) 468-5903.

Contact Information

Primary practice address
1572 Highway 85N Suite 505 Fayetteville GA 30214-7729
Fax: (678) 228-1636
Website:
Authorized official contact:
Name: Phillips, Tandra Davis

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia

Profile Details

NPI number 1720070709
LBN Legal business name Care Medical Of Georgia
DBA Doing business as
Authorized official Phillips, Tandra Davis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 2nd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720070709 NPPES
Georgia MEDICAID 146697898A

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