Regional Occupational Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REGIONAL OCCUPATIONAL MEDICINE LLC

Practice address

1368 Southlake Plaza Dr
Morrow, GA 30260-1756

Phone

(678) 709-0634

Fax

(404) 492-0777

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carmen Baker

Title

Office Manager

Phone

(678) 709-0634

Specialties & licenses 1

Addresses

Tax ID family

Regional Occupational Medicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regional Occupational Medicine LLC

  • Specialist
  • Sandy Springs, GA
  • NPI 1235529884
  NPD tax ID

Locations

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1154703478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "678-709-0634",
            "fax_number": "404-492-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "678-709-0634",
            "fax_number": "404-492-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL OCCUPATIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-709-0634",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.