PRE WELLNESS CARE ATLANTA NPI 1679111454

NPI Information

NPI: 1679111454
Provider Name: PRE WELLNESS CARE ATLANTA
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2001 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30310
Phone: (404) 691-3344
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PRE WELLNESS CARE ATLANTA is a multi-specialty clinic center in Atlanta, GA. PRE WELLNESS CARE ATLANTA NPI is 1679111454. The provider is registered as an organization entity type.

The provider's business location address is:

2001 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30310-101
Phone: (404) 691-3344

The provider's authorized official is Elijua Watson .
The authorized official title is Coo and has the following contact phone number (414) 238-4596.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 12/12/2019.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QG0250X	Clinic/Center	Genetics	No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes
5	261QP0905X	Clinic/Center	Public Health, State or Local	No
6	332B00000X	Durable Medical Equipment & Medical Supplies		No

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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