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Brandon Medical Group Llc
Home Health Agency in Douglasville, Georgia
NPI 1417604174

Brandon Medical Group Llc is a Home Health Agency based in Douglasville, GA. Brandon Medical Group Llc practices in Douglasville, GA. The NPI Number for Brandon Medical Group Llc is 1417604174 and holds a License No. (Georgia).

The current practice location address for Brandon Medical Group Llc is 3766 Chapel Cv, Douglasville, GA and can be reached out via phone at 770-892-8332 and via fax at 470-401-1105.

Location: 3766 Chapel Cv, Douglasville, GA, 30135-2885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417604174
Provider Name
Brandon Medical Group Llc
Credential
Provider Entity Type
Organization
Address
3766 Chapel Cv, Douglasville, GA, 30135-2885
Phone Number
770-892-8332
Fax Number
470-401-1105
Provider Enumeration Date
03/03/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060-R-2073 01 GA HEALTHCARE FACILITY REGULATION
institution
Provider Business Practice Location Address Details
Address
3766 Chapel Cv
City
Douglasville
State
Georgia
Zip
30135-2885
Phone Number
770-892-8332
Fax Number
470-401-1105
person
Provider Business Mailing Address Details
Address
3766 Chapel Cv
City
Douglasville
State
Georgia
Zip
30135-2885
Phone Number
770-892-8332
Fax Number
470-401-1105
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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