Provider Demographics
NPI:1417149550
Name:CAMP CREEK AIM, LLC
Entity Type:Organization
Organization Name:CAMP CREEK AIM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SATYAJEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-932-3317
Mailing Address - Street 1:2220 WISTERIA DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2656
Mailing Address - Country:US
Mailing Address - Phone:678-252-2137
Mailing Address - Fax:678-336-7099
Practice Address - Street 1:3515 CAMP CREEK POINTE DRIVE
Practice Address - Street 2:SUITE 80
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344
Practice Address - Country:US
Practice Address - Phone:678-252-2137
Practice Address - Fax:678-336-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care