MAXX LIFE HEALTH CARE LLC NPI 1487362919

NPI Information

NPI: 1487362919
Provider Name: MAXX LIFE HEALTH CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1540 PENNSYLVANIA AVE STE B
MCDONOUGH, GA
ZIP 30253
Phone: (404) 932-7183
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MAXX LIFE HEALTH CARE LLC is a family medicine in Mcdonough, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAXX LIFE HEALTH CARE LLC NPI is 1487362919. The provider is registered as an organization entity type.

The provider's business location address is:

1540 PENNSYLVANIA AVE STE B
MCDONOUGH, GA
ZIP 30253-112
Phone: (404) 932-7183

The provider's authorized official is Maria Waller .
The authorized official title is Managing Member and has the following contact phone number (404) 932-7183.

The enumeration date for this NPI number is 11/14/2022 and was last updated on 12/22/2023.

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	261QH0100X	Clinic/Center	Health Service			No
2	207Q00000X	Family Medicine				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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