Provider Demographics
NPI:1134762206
Name:THE AICHER CLINIC, LLC
Entity type:Organization
Organization Name:THE AICHER CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:GANDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:404-796-7011
Mailing Address - Street 1:385 LUM CROWE RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-6879
Mailing Address - Country:US
Mailing Address - Phone:770-906-6818
Mailing Address - Fax:404-796-7099
Practice Address - Street 1:35 W CHURCH ST STE 101
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1618
Practice Address - Country:US
Practice Address - Phone:404-796-7011
Practice Address - Fax:404-796-7099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTA CARDIOLOGY ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-22
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty