Edward C Mack M.D.

LBN: Edward C Mack M.D.
Edward C Mack M.D. is an health care organization with primary practice located at 2855 Candler Rd Suite 06, Decatur GA 30034-1415. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edward C Mack M.D. can be contacted via phone (404) 241-0103, or through Mack, Edward C via phone (404) 241-0103.

Contact Information

Primary practice address
2855 Candler Rd Suite 06 Decatur GA 30034-1415
Phone: (404) 241-0103
Fax: (404) 241-0069
Website:
Map and Directions
Authorized official contact:
Name: Mack, Edward C Doctor of Medicine (MD)
Phone: (404) 241-0103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021754 Georgia

Profile Details

NPI number 1619305661
LBN Legal business name Edward C Mack M.D.
DBA Doing business as
Authorized official Mack, Edward C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2013
Last updated Oct 29th, 2013 - about 12 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 1619305661 NPPES
Georgia MEDICAID 000203002D

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