Eagle'S Landing Bone & Joint
LBN: Clayton Orthopedic Clinic
Eagle'S Landing Bone & Joint is an health care organization with primary practice located at 1050 Eagles Landing Pkwy Suite 103, Stockbridge GA 30281-9020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty.
Clayton Orthopedic Clinic can be contacted via phone (678) 289-5040, or through Berry, Neil Colvard via phone (678) 289-5040.
Contact Information
Primary practice address
1050 Eagles Landing Pkwy Suite 103
Stockbridge GA 30281-9020
Phone: (678) 289-5040
Fax: (678) 289-2040
Website:
Authorized official contact:
Name: Berry, Neil Colvard Doctor of Medicine (MD)
Phone: (678) 289-5040
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 013727 | Georgia |
Profile Details
| NPI number | 1700075231 |
|---|---|
| LBN Legal business name | Clayton Orthopedic Clinic |
| DBA Doing business as | Eagle'S Landing Bone & Joint |
| Authorized official | Berry, Neil Colvard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Feb 26th, 2010 - about 14 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 | 1700075231 | NPPES |
| Georgia | MEDICAID | 00599068A | |
| Georgia | MEDICAID | 000599068A |
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