Gastroenterology Medicine & Nutrition Clinic, Pc

LBN: Gastroenterology Medicine & Nutrition Clinic, Pc
Gastroenterology Medicine & Nutrition Clinic, Pc is an health care organization with primary practice located at 3200 Downwood Cir Nw Ste 340 , Atlanta GA 30327-1605. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Gastroenterology Medicine & Nutrition Clinic, Pc can be contacted via phone (404) 681-0000, or through Layne, Edward A via phone (404) 681-0000.

Contact Information

Primary practice address
3200 Downwood Cir Nw Ste 340 Atlanta GA 30327-1605
Fax: (404) 365-8354
Website:
Authorized official contact:
Name: Layne, Edward A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 021539 Georgia
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 021539 Georgia

Profile Details

NPI number 1366625535
LBN Legal business name Gastroenterology Medicine & Nutrition Clinic, Pc
DBA Doing business as
Authorized official Layne, Edward A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Jul 7th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366625535 NPPES
Georgia MEDICAID 00204586B

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