<Unavail>

LBN: Med-South Primary Care
<Unavail> is an health care organization with primary practice located at 1240 Eagles Landing Parkway Suite 100, Stockbridge GA 30281. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Med-South Primary Care can be contacted via phone (770) 506-0100, or through Padgett, Kelly Marie via phone (770) 506-0100.

Contact Information

Primary practice address
1240 Eagles Landing Parkway Suite 100 Stockbridge GA 30281
Phone: (770) 506-0100
Fax: (770) 507-2597
Website:
Map and Directions
Authorized official contact:
Name: Padgett, Kelly Marie
Phone: (770) 506-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047830 Georgia

Profile Details

NPI number 1245413715
LBN Legal business name Med-South Primary Care
DBA Doing business as <Unavail>
Authorized official Padgett, Kelly Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 14th, 2015 - about 11 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 1245413715 NPPES
Georgia MEDICAID 00932357A

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