Leeway Medical Group, P.C.

LBN: Leeway Medical Group, P.C.
Leeway Medical Group, P.C. is an health care organization with primary practice located at 8311 Office Park Dr , Douglasville GA 30134-6935. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Leeway Medical Group, P.C. can be contacted via phone (770) 577-6121, or through Lee Iii Md, Marvin via phone (770) 577-6121.

Contact Information

Primary practice address
8311 Office Park Dr Douglasville GA 30134-6935
Phone: (770) 577-6121
Fax: (770) 577-1152
Website:
Map and Directions
Authorized official contact:
Name: Lee Iii Md, Marvin Doctor of Medicine (MD)
Phone: (770) 577-6121

Health care specialties

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

Profile Details

NPI number 1598857229
LBN Legal business name Leeway Medical Group, P.C.
DBA Doing business as
Authorized official Lee Iii Md, Marvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Nov 20th, 2007 - about 19 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 1598857229 NPPES
Georgia Other CH8739 MCRR
Georgia Other 0400158 MCRR
Georgia Other 52255410 001 MCRR

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