Med-South Primary Care
LBN: Med-South Primary Care
Med-South Primary Care is an health care organization with primary practice located at 1240 Eagles Landing Parkway Suite 100, Stockbridge GA 30281. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Med-South Primary Care can be contacted via phone (770) 506-0100, or through Padgett, Kelly Marie via phone (770) 506-0100.
Contact Information
Primary practice address
1240 Eagles Landing Parkway Suite 100
Stockbridge GA 30281
Phone: (770) 506-0100
Fax: (770) 507-2597
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047830 | Georgia |
Profile Details
NPI number | 1245413715 |
---|---|
LBN Legal business name | Med-South Primary Care |
DBA Doing business as | Med-South Primary Care |
Authorized official | Padgett, Kelly Marie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 7th, 2007 |
Last updated | Dec 14th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245413715 | NPPES |
Georgia | MEDICAID | 00932357A |
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