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LEEWAY MEDICAL GROUP PC NPI 1639350515


NPI Information

NPI: 1639350515
Provider Name: LEEWAY MEDICAL GROUP, PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
1665 WATERWAY XING SW
ATLANTA, GA
ZIP 30331
Phone: (678) 478-6031
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LEEWAY MEDICAL GROUP, PC is a legal medicine in Atlanta, GA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. LEEWAY MEDICAL GROUP, PC NPI is 1639350515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1665 WATERWAY XING SW
ATLANTA, GA
ZIP 30331-060
Phone: (678) 478-6031
Fax: (404) 629-1492

The provider's authorized official is Marvin Lee .
The authorized official title is Owner and has the following contact phone number (678) 478-6031.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111BDSPDMEDICARE PINGEORGIA
2E75805MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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