MEDICARE: LIMBICO INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1831128719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMBICO INC

Provider Business Mailing Address
First Line	:	2622 MCKINNON DR
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-4539
Country	:	US
Telephone Number	:	404-687-0469
Fax Number	:	404-759-2821

Provider Business Practice Location Address
First Line	:	4265 JOHNS CREEK PKWY
Second Line	:	SUITE A
City	:	SUWANEE
State	:	GA
Zip	:	30024-6038
Country	:	US
Telephone Number	:	678-990-3962
Fax Number	:	678-990-3966

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. JEFFREY SCOTT DURMER
Credential	:	M.D. PHD
Telephone Number	:	404-687-0469

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	08/22/2020

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Directions to “LIMBICO INC ” Practice Location

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