Multi Specialist Practice

LBN: Eagles Landing Medical Center
Multi Specialist Practice is an health care organization with primary practice located at 1215 Eagles Landing Pkwy Ste 205 , Stockbridge GA 30281-7280. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Eagles Landing Medical Center can be contacted via phone (770) 389-9116, or through Duncan, Sharon Selena via phone (678) 656-7203.

Contact Information

Primary practice address
1215 Eagles Landing Pkwy Ste 205 Stockbridge GA 30281-7280
Fax:
Website:
Authorized official contact:
Name: Duncan, Sharon Selena

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 52394 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Georgia

Profile Details

NPI number 1598120271
LBN Legal business name Eagles Landing Medical Center
DBA Doing business as Multi Specialist Practice
Authorized official Duncan, Sharon Selena
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2015
Last updated Jan 5th, 2016 - about 8 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 1598120271 NPPES
Georgia Other 1144255399 NPI NUMBER

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