Sports Medicine South, Llc

LBN: Sports Medicine South, Llc
Sports Medicine South, Llc is an health care organization with primary practice located at 1900 Riverside Pkwy , Lawrenceville GA 30043-5925. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Sports Medicine South, Llc can be contacted via phone (770) 237-3475, or through Levengood, Gary A via phone (770) 237-3475.

Contact Information

Primary practice address
1900 Riverside Pkwy Lawrenceville GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Website:
Map and Directions
Authorized official contact:
Name: Levengood, Gary A Doctor of Medicine (MD)
Phone: (770) 237-3475

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 040138 Georgia

Profile Details

NPI number 1780860924
LBN Legal business name Sports Medicine South, Llc
DBA Doing business as
Authorized official Levengood, Gary A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 16 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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