Spectrum Internal Medicine, Llc

LBN: Spectrum Internal Medicine, Llc
Spectrum Internal Medicine, Llc is an health care organization with primary practice located at 401 S Main St Suite B3, Alpharetta GA 30009-1974. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Spectrum Internal Medicine, Llc can be contacted via phone (678) 319-9901, or through Adebisi, Julius Kolawole via phone (678) 319-9901.

Contact Information

Primary practice address
401 S Main St Suite B3 Alpharetta GA 30009-1974
Phone: (678) 319-9901
Fax: (678) 319-9902
Website:
Map and Directions
Authorized official contact:
Name: Adebisi, Julius Kolawole Doctor of Medicine (MD)
Phone: (678) 319-9901

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 58939 Georgia

Profile Details

NPI number 1437576659
LBN Legal business name Spectrum Internal Medicine, Llc
DBA Doing business as
Authorized official Adebisi, Julius Kolawole Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2014
Last updated Mar 26th, 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 1437576659 NPPES
Georgia MEDICAID 390122159B

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