Mystic Medical, Llc

LBN: Mystic Medical, Llc
Mystic Medical, Llc is an health care organization with primary practice located at 5555 Glenridge Connector Suite 200, Atlanta GA 30342-4759. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Mystic Medical, Llc can be contacted via phone (404) 351-0055, or through Dykes, Amanda via phone (404) 351-0055.

Contact Information

Primary practice address
5555 Glenridge Connector Suite 200 Atlanta GA 30342-4759
Phone: (404) 351-0055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dykes, Amanda
Phone: (404) 351-0055

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1093108763
LBN Legal business name Mystic Medical, Llc
DBA Doing business as
Authorized official Dykes, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2015
Last updated Jan 12th, 2016 - 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.

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