Lpp of Georgia LLC

NPI #1932625548 in Riverdale, Georgia

Provider Information

NPI Number: 1932625548
Entity Type: Organization
Organization Name: Lpp of Georgia LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LEGACY PHYSICIAN PARTNERS LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 15, 2017
Last Updated: Aug 16, 2017

Practice Location

Address: 11 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2615
Phone: (770) 991-8000

Authorized Official

Name: CHRISTOPHER KELLY
Title: CEO
Phone: (615) 554-6885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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