Buckeye Medical

LBN: Spa1 Clinic
Buckeye Medical is an health care organization with primary practice located at 901 Martin Rd , Stone Mountain GA 30088-2110. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. Spa1 Clinic can be contacted via phone (678) 368-2398, or through Badie, Sara via phone (678) 368-2398.

Contact Information

Primary practice address
901 Martin Rd Stone Mountain GA 30088-2110
Phone: (678) 368-2398
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Badie, Sara
Phone: (678) 368-2398

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1285870485
LBN Legal business name Spa1 Clinic
DBA Doing business as Buckeye Medical
Authorized official Badie, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2008
Last updated Dec 18th, 2008 - about 18 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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