Jody Amazon Pc

LBN: Jody Amazon Pc
Jody Amazon Pc is an health care organization with primary practice located at 2160 Fountain Dr Ste 220 , Snellville GA 30078-7022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. Jody Amazon Pc can be contacted via phone (678) 336-9102, or through Andrews, Jordyn Isabel via phone (678) 336-9102.

Contact Information

Primary practice address
2160 Fountain Dr Ste 220 Snellville GA 30078-7022
Phone: (678) 336-9102
Fax: (770) 674-8563
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Jordyn Isabel
Phone: (678) 336-9102

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1396334330
LBN Legal business name Jody Amazon Pc
DBA Doing business as
Authorized official Andrews, Jordyn Isabel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 4 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 1396334330 NPPES
Georgia MEDICAID 003122521D

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