Energy Medical Group

LBN: Lifequest East Marietta Llc
Energy Medical Group is an health care organization with primary practice located at 4930 Davidson Rd Ne 100, Marietta GA 30068-4661. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Lifequest East Marietta Llc can be contacted via phone (678) 973-0635, or through Broussard, James via phone (678) 973-0635.

Contact Information

Primary practice address
4930 Davidson Rd Ne 100 Marietta GA 30068-4661
Phone: (678) 973-0635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broussard, James
Phone: (678) 973-0635

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 33753 Georgia

Profile Details

NPI number 1023424181
LBN Legal business name Lifequest East Marietta Llc
DBA Doing business as Energy Medical Group
Authorized official Broussard, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2014
Last updated Jul 9th, 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.

Request for update

Popular Providers