Eagle'S Landing Family Practice

LBN: Eagle'S Landing Family Practice
Eagle'S Landing Family Practice is an health care organization with primary practice located at 1108 Hospital Dr , Stockbridge GA 30281-6381. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Eagle'S Landing Family Practice can be contacted via phone (770) 474-5666, or through Mitcham, Jeff via phone (770) 914-0116.

Contact Information

Primary practice address
1108 Hospital Dr Stockbridge GA 30281-6381
Phone: (770) 474-5666
Fax: (770) 474-5720
Website:
Map and Directions
Authorized official contact:
Name: Mitcham, Jeff
Phone: (770) 914-0116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29378 Georgia
Ambulatory Health Care Facilities / Radiology 261QR0200X 29378 Georgia

Profile Details

NPI number 1174834980
LBN Legal business name Eagle'S Landing Family Practice
DBA Doing business as
Authorized official Mitcham, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Feb 6th, 2020 - about 6 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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