Provider Demographics
NPI:1518061233
Name:CARE DYNAMIX LLC
Entity Type:Organization
Organization Name:CARE DYNAMIX LLC
Other - Org Name:FLU BUSTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:GREIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-512-8566
Mailing Address - Street 1:235 HEMBREE PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5700
Mailing Address - Country:US
Mailing Address - Phone:770-512-8566
Mailing Address - Fax:770-512-8558
Practice Address - Street 1:235 HEMBREE PARK DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5700
Practice Address - Country:US
Practice Address - Phone:770-512-8566
Practice Address - Fax:770-512-8558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00355634OtherRAILROAD MEDICARE PROVIDE
P00355634OtherRAILROAD MEDICARE PROVIDE