Provider Demographics
NPI:1831128719
Name:LIMBICO INC
Entity Type:Organization
Organization Name:LIMBICO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DURMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:404-687-0469
Mailing Address - Street 1:2622 MCKINNON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4539
Mailing Address - Country:US
Mailing Address - Phone:404-687-0469
Mailing Address - Fax:404-759-2821
Practice Address - Street 1:4265 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6038
Practice Address - Country:US
Practice Address - Phone:678-990-3962
Practice Address - Fax:678-990-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty