DELTA COMPREHENSIVE INJURY AND WELLNESS CENTER LLC NPI 1124742218

NPI Information

NPI: 1124742218
Provider Name: DELTA COMPREHENSIVE INJURY AND WELLNESS CENTER LLC

Doing Business As: DELTA ORTHOPEDICS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1790 MULKEY RD STE 1314
AUSTELL, GA
ZIP 30106
Phone: (770) 284-3832
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DELTA COMPREHENSIVE INJURY AND WELLNESS CENTER LLC is a multi-specialty clinic center in Austell, GA. DELTA COMPREHENSIVE INJURY AND WELLNESS CENTER LLC NPI is 1124742218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Delta Orthopedics.

The provider's business location address is:

1790 MULKEY RD STE 1314
AUSTELL, GA
ZIP 30106-122
Phone: (770) 284-3832

The provider's authorized official is Jose Marti .
The authorized official title is Owner and has the following contact phone number (678) 401-3033.

The enumeration date for this NPI number is 10/3/2022 and was last updated on 6/30/2023.

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
1	363A00000X	Physician Assistant				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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