Med Therapeutic Skin Care Day Spa

LBN: Med Therapeutic Skin Care Day Spa
Med Therapeutic Skin Care Day Spa is an health care organization with primary practice located at 5344 Jimmy Carter Blvd 1 C, Norcross GA 30093-1516. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Managed Care Organizations / Exclusive Provider Organization. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty. Med Therapeutic Skin Care Day Spa can be contacted via phone (770) 849-0206, or through Mosquera, Lidia via phone (770) 849-0206.

Contact Information

Primary practice address
5344 Jimmy Carter Blvd 1 C Norcross GA 30093-1516
Fax: (770) 849-0206
Website:
Authorized official contact:
Name: Mosquera, Lidia LPG

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 2013005065 Georgia
Managed Care Organizations / Exclusive Provider Organization 302F00000X 2013005065 Georgia

Profile Details

NPI number 1568808731
LBN Legal business name Med Therapeutic Skin Care Day Spa
DBA Doing business as
Authorized official Mosquera, Lidia LPG
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 12 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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