Modern Internal Medicine

LBN: Modern Internal Medicine
Modern Internal Medicine is an health care organization with primary practice located at 2457 Martin Luther King Jr Dr Sw Suite A, Atlanta GA 30311-1712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Modern Internal Medicine can be contacted via phone (404) 368-8655, or through Green, Deandre via phone (404) 368-8655.

Contact Information

Primary practice address
2457 Martin Luther King Jr Dr Sw Suite A Atlanta GA 30311-1712
Phone: (404) 368-8655
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Deandre
Phone: (404) 368-8655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1982095360
LBN Legal business name Modern Internal Medicine
DBA Doing business as
Authorized official Green, Deandre
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2015
Last updated Feb 6th, 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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