Quadrivium Health Llc

LBN: Bold Legacy Practice, Llc
Quadrivium Health Llc is an health care organization with primary practice located at 1401 Johnson Ferry Rd Ste 390 , Marietta GA 30062-9100. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Bold Legacy Practice, Llc can be contacted via phone (470) 795-0047, or through Dawson, Leia Chatman via phone (205) 907-5342.

Contact Information

Primary practice address
1401 Johnson Ferry Rd Ste 390 Marietta GA 30062-9100
Phone: (470) 795-0047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Leia Chatman Doctor of Osteopathy (DO)
Phone: (205) 907-5342

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1972212116
LBN Legal business name Bold Legacy Practice, Llc
DBA Doing business as Quadrivium Health Llc
Authorized official Dawson, Leia Chatman Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2022
Last updated Jan 5th, 2024 - about last year

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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