Lady C Services LLC.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

LADY C SERVICES LLC.

Practice address

5152 Memorial Dr Unit 830627
Stone Mountain, GA 30083-0106

Phone

(404) 838-9513

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Connielynne Williamson, 4048389513

Title

Owner

Phone

(404) 838-9513

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1154769834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 MEMORIAL DR UNIT 830627",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300830106",
            "telephone_number": "404-838-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 MEMORIAL DR UNIT 830627",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300830106",
            "telephone_number": "404-838-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY C SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CONNIELYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-838-9513",
        "authorized_official_credential": "4048389513"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.