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UNIMEDICALPC NPI 1023186483


NPI Information

NPI: 1023186483
Provider Name: UNIMEDICAL,PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4575 JONESBORO RD
FOREST PARK, GA
ZIP 30297
Phone: (404) 477-0849
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UNIMEDICAL,PC is a specialist in Forest Park, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UNIMEDICAL,PC NPI is 1023186483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4575 JONESBORO RD
FOREST PARK, GA
ZIP 30297-317
Phone: (404) 477-0849
Fax: (404) 477-0859

The provider's authorized official is Ephrem Makonnen .
The authorized official title is Clinic Manager and has the following contact phone number (404) 477-0849.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist041874GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185002511GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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