Provider Demographics
NPI:1619205754
Name:ROCKDALE PHYSICIAN PRACTICES LLC
Entity Type:Organization
Organization Name:ROCKDALE PHYSICIAN PRACTICES LLC
Other - Org Name:ROCKDALE ORTHOPEDIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-372-8505
Mailing Address - Street 1:1301 SIGMAN RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3812
Mailing Address - Country:US
Mailing Address - Phone:678-413-7900
Mailing Address - Fax:678-413-7901
Practice Address - Street 1:1301 SIGMAN RD
Practice Address - Street 2:SUITE 125
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3812
Practice Address - Country:US
Practice Address - Phone:678-413-7900
Practice Address - Fax:678-413-7901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFEPOINT HOLDINGS 2 LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-01
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty