Healthcare Provider Details

I. General information

NPI: 1518774074
Provider Name (Legal Business Name): SPRINGS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4426 AUSTELL RD
AUSTELL GA
30106-1844
US

IV. Provider business mailing address

4426 AUSTELL RD
AUSTELL GA
30106-1844
US

V. Phone/Fax

Practice location:
  • Phone: 410-772-0774
  • Fax:
Mailing address:
  • Phone: 410-772-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CHIEDOZIE O OJIMBA
Title or Position: OWNER
Credential: MD
Phone: 410-772-0774