Immune Recovery Institute Inc

LBN: Immune Recovery Institute Inc
Immune Recovery Institute Inc is an health care organization with primary practice located at 4536 Chamblee Dunwoody Rd Ste 250, Dunwoody GA 30338-6200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Immune Recovery Institute Inc can be contacted via phone (770) 455-6100, or through Bradford, Samuel Edward via phone (770) 455-6100.

Contact Information

Primary practice address
4536 Chamblee Dunwoody Rd Ste 250 Dunwoody GA 30338-6200
Phone: (770) 455-6100
Fax: (770) 455-1999
Website:
Map and Directions
Authorized official contact:
Name: Bradford, Samuel Edward PAC
Phone: (770) 455-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1295050987
LBN Legal business name Immune Recovery Institute Inc
DBA Doing business as
Authorized official Bradford, Samuel Edward PAC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2010
Last updated Apr 6th, 2010 - about 15 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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