Legacy Medics LLC.

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

LEGACY MEDICS LLC.

Practice address

7821 Rock Rose Lane
Fairburn, GA 30213

Phone

(678) 435-9160

Fax

(888) 418-6110

NPI assigned

Dec 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victoria P. Minor, J.D.

Title

Owner

Phone

(225) 229-8925

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1023884806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 JONESBORO RD.",
            "address_2": "A2 #164",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "30291",
            "telephone_number": "678-435-9160",
            "fax_number": "888-418-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 ROCK ROSE LANE",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "30213",
            "telephone_number": "678-435-9160",
            "fax_number": "888-418-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-229-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Private Vehicle in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.