MEDICARE: DR. LOUIS L. BATTEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	021141	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21141	OTHER	GA	GEORGIA COMPOSITE MEDICAL BOARD

General Provider Information

NPI Number	:	1477569358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS L. BATTEY MD

Provider Business Mailing Address
First Line	:	PO BOX 116116
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-6116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 COLLIER RD NW STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-605-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/11/2021

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