Edg Sports Medicine,Inc

LBN: Edg Sports Medicine,Inc
Edg Sports Medicine,Inc is an health care organization with primary practice located at 2801 N Decatur Rd Suite 200, Decatur GA 30033-5949. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Edg Sports Medicine,Inc can be contacted via phone (404) 296-5005, or through Gaines, Eric via phone (404) 296-5005.

Contact Information

Primary practice address
2801 N Decatur Rd Suite 200 Decatur GA 30033-5949
Phone: (404) 296-5005
Fax: (404) 296-5058
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Eric
Phone: (404) 296-5005

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1857 Georgia

Profile Details

NPI number 1114169703
LBN Legal business name Edg Sports Medicine,Inc
DBA Doing business as
Authorized official Gaines, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Mar 30th, 2009 - about 16 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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