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EMORY PHYSICIANS GROUP LLC NPI 1548680796


NPI Information

NPI: 1548680796
Provider Name: EMORY PHYSICIANS GROUP, LLC

Doing Business As: THE EMORY CLINIC, INC.

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 11D2187182

Address:
22 14TH STREET NW
SPACE 129
ATLANTA, GA
ZIP 30309
Phone: (404) 504-6554
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EMORY PHYSICIANS GROUP, LLC is a clinic center in Atlanta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EMORY PHYSICIANS GROUP, LLC NPI is 1548680796. The provider is registered as an organization entity type.
The provider Is Doing Business As The Emory Clinic, Inc..

The provider's business location address is:

22 14TH STREET NW
SPACE 129
ATLANTA, GA
ZIP 30309
Phone: (404) 504-6554
Fax: (404) 999-7964

The provider's authorized official is Stephanie Vicent .
The authorized official title is Director and has the following contact phone number (404) 778-5352.

The CLIA number assigned to this NPI record is 11D2187182 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/25/2014 and was last updated on 1/27/2020.


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
1261Q00000XClinic/CenterYes

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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