# MULTISPECIALTY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376992909
- **Authorized official:** KIM H LARSEN (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (770) 874-5400

## Contact information

- **Practice address:** 3950 AUSTELL RD, AUSTELL, GA 30106-1121
- **Practice address phone:** (770) 732-4000
- **Mailing address:** PO BOX 22278, BELFAST, ME 04915-4473
- **Mailing address phone:** (770) 874-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | NULL | Yes |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | — | — | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | NULL | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2016
- **Last updated:** 02/05/2020