Ivy Falls Family Medicine

LBN: Ivy Falls Family Medicine
Ivy Falls Family Medicine is an health care organization with primary practice located at 10475 Medlock Bridge Rd Suite 815, Duluth GA 30097-2002. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ivy Falls Family Medicine can be contacted via phone (678) 990-4828, or through Sells, Andrea L via phone (678) 990-4828.

Contact Information

Primary practice address
10475 Medlock Bridge Rd Suite 815 Duluth GA 30097-2002
Phone: (678) 990-4828
Fax: (678) 990-4824
Website:
Map and Directions
Authorized official contact:
Name: Sells, Andrea L CMOM, CMIS,CMC
Phone: (678) 990-4828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X BL0600486 Georgia

Profile Details

NPI number 1922118595
LBN Legal business name Ivy Falls Family Medicine
DBA Doing business as
Authorized official Sells, Andrea L CMOM, CMIS,CMC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 19th, 2012 - about 13 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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