Waterfalls Medical Practice, P.C

LBN: Waterfalls Medical Practice, P.C
Waterfalls Medical Practice, P.C is an health care organization with primary practice located at 112 Governors Sq Ste B , Peachtree City GA 30269-4864. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Waterfalls Medical Practice, P.C can be contacted via phone (678) 932-8112, or through Omotoso, Irene Ayoyinka via phone (678) 932-8112.

Contact Information

Primary practice address
112 Governors Sq Ste B Peachtree City GA 30269-4864
Fax: (678) 932-8113
Website:
Authorized official contact:
Name: Omotoso, Irene Ayoyinka Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 053629 Georgia

Profile Details

NPI number 1225567225
LBN Legal business name Waterfalls Medical Practice, P.C
DBA Doing business as
Authorized official Omotoso, Irene Ayoyinka Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2017
Last updated Jun 16th, 2020 - about 4 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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