Legacy Medical, Llc

LBN: Legacy Medical, Llc
Legacy Medical, Llc is an health care organization with primary practice located at 5422 Cumming Hwy Ste 104 , Sugar Hill GA 30518-7027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Legacy Medical, Llc can be contacted via phone (678) 765-7147, or through Bullock, Colette Devona via phone (678) 765-7147.

Contact Information

Primary practice address
5422 Cumming Hwy Ste 104 Sugar Hill GA 30518-7027
Phone: (678) 765-7147
Fax: (877) 991-5350
Website:
Map and Directions
Authorized official contact:
Name: Bullock, Colette Devona Doctor of Osteopathy (DO)
Phone: (678) 765-7147

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1750846648
LBN Legal business name Legacy Medical, Llc
DBA Doing business as
Authorized official Bullock, Colette Devona Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2019
Last updated Oct 8th, 2022 - about 2 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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