Creekside Medical Clinic Llc

LBN: Creekside Medical Clinic Llc
Creekside Medical Clinic Llc is an health care organization with primary practice located at 3104 Creekside Village Dr Nw Suite 201, Kennesaw GA 30144-2324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Creekside Medical Clinic Llc can be contacted via phone (770) 627-3986, or through Ramprasad, Sharmila via phone (770) 627-3986.

Contact Information

Primary practice address
3104 Creekside Village Dr Nw Suite 201 Kennesaw GA 30144-2324
Phone: (770) 627-3986
Fax: (770) 872-0517
Website:
Map and Directions
Authorized official contact:
Name: Ramprasad, Sharmila Doctor of Medicine (MD)
Phone: (770) 627-3986

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1518289248
LBN Legal business name Creekside Medical Clinic Llc
DBA Doing business as
Authorized official Ramprasad, Sharmila Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2010
Last updated Aug 15th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518289248 NPPES
Georgia MEDICAID 839516023A

Popular Providers