None

LBN: Eagles Landing Diabetes And Endocrinology
None is an health care organization with primary practice located at 550 Eagles Landing Pkwy Ste 110 , Stockbridge GA 30281-9083. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Eagles Landing Diabetes And Endocrinology can be contacted via phone (770) 389-9494, or through Watts, Ronald Steven via phone (770) 389-9494.

Contact Information

Primary practice address
550 Eagles Landing Pkwy Ste 110 Stockbridge GA 30281-9083
Phone: (770) 389-9494
Fax: (770) 357-2511
Website:
Map and Directions
Authorized official contact:
Name: Watts, Ronald Steven Doctor of Medicine (MD)
Phone: (770) 389-9494

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 044862 Georgia

Profile Details

NPI number 1376725978
LBN Legal business name Eagles Landing Diabetes And Endocrinology
DBA Doing business as None
Authorized official Watts, Ronald Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Jun 13th, 2021 - about 5 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 1376725978 NPPES
Georgia MEDICAID 000977523A

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