Southwest Atlanta Podiatry, Llc

LBN: Southwest Atlanta Podiatry, Llc
Southwest Atlanta Podiatry, Llc is an health care organization with primary practice located at 3915 Cascade Rd Sw Suite 230, Atlanta GA 30331-8512. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Southwest Atlanta Podiatry, Llc can be contacted via phone (973) 243-2666, or through Bennett, Patricia W via phone (973) 243-2666.

Contact Information

Primary practice address
3915 Cascade Rd Sw Suite 230 Atlanta GA 30331-8512
Phone: (973) 243-2666
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Patricia W Doctor of Podiatric Medicine (DPM)
Phone: (973) 243-2666

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD 1031 Georgia

Profile Details

NPI number 1124418918
LBN Legal business name Southwest Atlanta Podiatry, Llc
DBA Doing business as
Authorized official Bennett, Patricia W Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124418918 NPPES
New Jersey MEDICAID 5551005

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