Diversified Medical Clinic, Llc

LBN: Diversified Medical Clinic, Llc
Diversified Medical Clinic, Llc is an health care organization with primary practice located at 305 Carrollton St , Temple GA 30179-3796. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Diversified Medical Clinic, Llc can be contacted via phone (678) 830-2294, or through Buford, Latoya Katrese via phone (678) 830-2294.

Contact Information

Primary practice address
305 Carrollton St Temple GA 30179-3796
Fax: (678) 890-5840
Website:
Authorized official contact:
Name: Buford, Latoya Katrese DNP, APRN, FNP-BC

Profile Details

NPI number 1932869856
LBN Legal business name Diversified Medical Clinic, Llc
DBA Doing business as
Authorized official Buford, Latoya Katrese DNP, APRN, FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2021
Last updated Nov 4th, 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.

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