Healthcare Provider Details

I. General information

NPI: 1740997675
Provider Name (Legal Business Name): DOT MEDICAL EXAMS 4 U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 KILLIAN HILL RD SW STE B
LILBURN GA
30047-8977
US

IV. Provider business mailing address

956 KILLIAN HILL RD SW STE B
LILBURN GA
30047-8977
US

V. Phone/Fax

Practice location:
  • Phone: 770-335-2434
  • Fax:
Mailing address:
  • Phone: 770-335-2434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHEROCKO RIESHELL GATLING-JAMES
Title or Position: BUSINESS OWNER
Credential:
Phone: 770-807-4710