Organization
MULTISPECIALTY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
PO BOX 22278, BELFAST, ME 04915-4473
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
Other
Enumeration date
06/04/2016
Last updated
02/05/2020
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