Eagle'S Landing Longevity Center

LBN: Eagle'S Landing Longevity Center
Eagle'S Landing Longevity Center is an health care organization with primary practice located at 1325 Rock Quarry Rd Suite 200, Stockbridge GA 30281-5088. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Eagle'S Landing Longevity Center can be contacted via phone (770) 389-0734, or through Sylvain, Gayla Deneice via phone (770) 389-0734.

Contact Information

Primary practice address
1325 Rock Quarry Rd Suite 200 Stockbridge GA 30281-5088
Phone: (770) 389-0734
Fax: (770) 389-5364
Website:
Map and Directions
Authorized official contact:
Name: Sylvain, Gayla Deneice Doctor of Medicine (MD)
Phone: (770) 389-0734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39958 Georgia

Profile Details

NPI number 1134524788
LBN Legal business name Eagle'S Landing Longevity Center
DBA Doing business as
Authorized official Sylvain, Gayla Deneice Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2014
Last updated Feb 24th, 2020 - about 4 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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