Provider Demographics
NPI:1275839235
Name:HYPERBARXS AT JOHNS CREEK, LLC
Entity Type:Organization
Organization Name:HYPERBARXS AT JOHNS CREEK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:GELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-422-0517
Mailing Address - Street 1:1341 CANTON RD
Mailing Address - Street 2:SUITE: A
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6056
Mailing Address - Country:US
Mailing Address - Phone:770-422-0517
Mailing Address - Fax:678-638-7015
Practice Address - Street 1:2575 PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7559
Practice Address - Country:US
Practice Address - Phone:770-888-8777
Practice Address - Fax:678-638-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center