Organization
LPP OF GEORGIA LLC
Active
Parent organization
LEGACY PHYSICIAN PARTNERS LLC
Other names
RIVERDALE EMERGENCY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY PHYSICIAN PARTNERS LLC
Authorized official
CHRISTOPHER KELLY (CEO)
(615) 554-6885
Entity
Organization
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 991-8000
Mailing address
5214 MARYLAND WAY STE 404, BRENTWOOD, TN 37027-5071
(615) 615-7605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/16/2017
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