Provider Demographics
NPI:1780120188
Name:MOUNTAINTOP HEALTHCARE CO
Entity type:Organization
Organization Name:MOUNTAINTOP HEALTHCARE CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-395-3618
Mailing Address - Street 1:3600 DALLAS HWY SW STE 230
Mailing Address - Street 2:PMB 156
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1685
Mailing Address - Country:US
Mailing Address - Phone:470-395-3618
Mailing Address - Fax:770-979-5155
Practice Address - Street 1:1976 MAIN ST E STE C
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6460
Practice Address - Country:US
Practice Address - Phone:470-395-3618
Practice Address - Fax:770-979-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X
GA66224261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service