Provider Demographics
NPI:1336283332
Name:GEORGETOWN HEALTH
Entity Type:Organization
Organization Name:GEORGETOWN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:STEPHAN
Authorized Official - Last Name:BAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:770-778-9290
Mailing Address - Street 1:236 JOHNSON FERRY RD NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3869
Mailing Address - Country:US
Mailing Address - Phone:770-778-9290
Mailing Address - Fax:
Practice Address - Street 1:236 JOHNSON FERRY RD NE
Practice Address - Street 2:SUITE 200
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3869
Practice Address - Country:US
Practice Address - Phone:770-778-9290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2683111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty