Jydes Family Clinic Llc

LBN: Jydes Family Clinic Llc
Jydes Family Clinic Llc is an health care organization with primary practice located at 4720 Peachtree Industrial Blvd Suite 4101, Norcross GA 30071-5735. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Jydes Family Clinic Llc can be contacted via phone (770) 686-3232, or through Babalakin, Haolat Abiola via phone (678) 466-7342.

Contact Information

Primary practice address
4720 Peachtree Industrial Blvd Suite 4101 Norcross GA 30071-5735
Phone: (770) 686-3232
Fax: (770) 686-3233
Website:
Map and Directions
Authorized official contact:
Name: Babalakin, Haolat Abiola Doctor of Medicine (MD)
Phone: (678) 466-7342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1275840944
LBN Legal business name Jydes Family Clinic Llc
DBA Doing business as
Authorized official Babalakin, Haolat Abiola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2010
Last updated Dec 15th, 2014 - about 10 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 1275840944 NPPES
Georgia Other 202G263383 MEDICARE PTAN

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