Provider Demographics
NPI:1447695911
Name:MEDICALLY NECESSARY SERVICES, PC
Entity type:Organization
Organization Name:MEDICALLY NECESSARY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:IRUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-353-7073
Mailing Address - Street 1:5755 N POINT PKWY STE 53
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1145
Mailing Address - Country:US
Mailing Address - Phone:678-862-6865
Mailing Address - Fax:770-609-8434
Practice Address - Street 1:5755 N POINT PKWY STE 53
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1145
Practice Address - Country:US
Practice Address - Phone:678-862-6865
Practice Address - Fax:770-609-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty