Lifetime Medical Center, Pc

LBN: Lifetime Medical Center, Pc
Lifetime Medical Center, Pc is an health care organization with primary practice located at 14244 Highway 515 N Suite 100, Ellijay GA 30536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lifetime Medical Center, Pc can be contacted via phone (706) 698-5433, or through Kent, Lee via phone (706) 698-5433.

Contact Information

Primary practice address
14244 Highway 515 N Suite 100 Ellijay GA 30536
Phone: (706) 698-5433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kent, Lee
Phone: (706) 698-5433

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 051241 Georgia

Profile Details

NPI number 1982933107
LBN Legal business name Lifetime Medical Center, Pc
DBA Doing business as
Authorized official Kent, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Aug 13th, 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 1982933107 NPPES
Georgia Other 202 G701 589 MEDICARE GROUP #

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