Provider Demographics
NPI:1902656143
Name:H&B MEDICAL SERVICES, P.A.
Entity Type:Organization
Organization Name:H&B MEDICAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:GREG BOLAN
Authorized Official - Phone:615-457-0336
Mailing Address - Street 1:675 MANSELL RD STE 115
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4877
Mailing Address - Country:US
Mailing Address - Phone:615-660-0800
Mailing Address - Fax:
Practice Address - Street 1:675 MANSELL RD STE 115
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4877
Practice Address - Country:US
Practice Address - Phone:615-660-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health