Family Practice Of Atlanta Llc

LBN: Family Practice Of Atlanta Llc
Family Practice Of Atlanta Llc is an health care organization with primary practice located at 1428 Scott Blvd , Decatur GA 30030-1424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Family Practice Of Atlanta Llc can be contacted via phone (404) 296-8100, or through Moore-Waters, Sondi Saddia via phone (404) 296-8100.

Contact Information

Primary practice address
1428 Scott Blvd Decatur GA 30030-1424
Phone: (404) 296-8100
Fax: (404) 294-8467
Website:
Map and Directions
Authorized official contact:
Name: Moore-Waters, Sondi Saddia Doctor of Medicine (MD)
Phone: (404) 296-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 031294 Georgia

Profile Details

NPI number 1790966976
LBN Legal business name Family Practice Of Atlanta Llc
DBA Doing business as
Authorized official Moore-Waters, Sondi Saddia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Mar 4th, 2010 - about 14 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 1790966976 NPPES
Georgia Other GRP6402 MEDICARE GROUP

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