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FOREVER CARE OB/GYN LLC NPI 1043654130


NPI Information

NPI: 1043654130
Provider Name: FOREVER CARE OB/GYN LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2057985

Address:
3635 PEACHTREE INDUSTRIAL BLVD
SUITE 550
DULUTH, GA
ZIP 30096
Phone: (770) 284-3099
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FOREVER CARE OB/GYN LLC is a specialist in Duluth, 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. FOREVER CARE OB/GYN LLC NPI is 1043654130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3635 PEACHTREE INDUSTRIAL BLVD
SUITE 550
DULUTH, GA
ZIP 30096-806
Phone: (770) 284-3099

The provider's authorized official is Xuan Cao .
The authorized official title is Owner and has the following contact phone number (770) 284-3099.

The CLIA number assigned to this NPI record is 11D2057985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 4/19/2013.


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
1174400000XSpecialist674114GEORGIAYes

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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