Eagles Landing Multi Speciality Group,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAGLES LANDING MULTI SPECIALITY GROUP,LLC

Practice address

1215 Eagles Landing Pkwy Ste 201
Stockbridge, GA 30281-7280

Phone

(404) 862-4206

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

La'Tonya Rojas

Title

Manager

Phone

(404) 862-4206

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1356793178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY STE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY STE 201",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817280",
            "telephone_number": "404-862-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES LANDING MULTI SPECIALITY GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LA'TONYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-862-4206"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eagles Landing Gastroenterology P.C.
• Eagles Landing Medical Center
• Eagles Landing Nephrology and Hypertension LLC
• Eagles Landing Pediatric Associates LLC
• Eagles Landing Surgery, P.C.
• James Van Eaton, MD
• Joan Ebersole, OT

• Internal Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, 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 Jul 5, 2016; 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.