Provider Demographics
NPI:1821113556
Name:MED HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:MED HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINDSOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-986-2983
Mailing Address - Street 1:4780 ASHFORD DUNWOODY ROAD
Mailing Address - Street 2:STE A418
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5504
Mailing Address - Country:US
Mailing Address - Phone:866-986-2983
Mailing Address - Fax:866-433-1426
Practice Address - Street 1:4780 ASHFORD DUNWOODY ROAD
Practice Address - Street 2:STE A418
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-5504
Practice Address - Country:US
Practice Address - Phone:866-986-2983
Practice Address - Fax:866-433-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0318572081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty