Icare Clinic & Medspa Llc

LBN: Icare Clinic & Medspa Llc
Icare Clinic & Medspa Llc is an health care organization with primary practice located at 4580 Memorial Dr , Decatur GA 30032-1447. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Icare Clinic & Medspa Llc can be contacted via phone (770) 856-8988, or through Oropo, Sikirat via phone (770) 856-8988.

Contact Information

Primary practice address
4580 Memorial Dr Decatur GA 30032-1447
Phone: (770) 856-8988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oropo, Sikirat DNP
Phone: (770) 856-8988

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1275124166
LBN Legal business name Icare Clinic & Medspa Llc
DBA Doing business as
Authorized official Oropo, Sikirat DNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 7th, 2024 - about 10 months 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 1275124166 NPPES
Georgia Other 003246181A 003246181A
Georgia MEDICAID 734119526R 003246181A
Georgia Other G006535258 003246181A

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