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CAPRI MEDICAL GROUP NPI 1679751341


NPI Information

NPI: 1679751341
Provider Name: CAPRI MEDICAL GROUP

Former Legal Business Name: CAPRI MEDICAL GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1096874

Address:
6400 FLAT ROCK RD
COLUMBUS, GA
ZIP 31907
Phone: (706) 478-5858
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CAPRI MEDICAL GROUP is a primary care clinic center in Columbus, GA. CAPRI MEDICAL GROUP NPI is 1679751341. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Capri Medical Group.

The provider's business location address is:

6400 FLAT ROCK RD
COLUMBUS, GA
ZIP 31907-972
Phone: (706) 478-5858
Fax: (706) 478-0417

The provider's authorized official is Prima R Foster .
The authorized official title is Provider/owner and has the following contact phone number (706) 478-5858.

The CLIA number assigned to this NPI record is 11D1096874 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 7/29/2015.


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
1261QU0200XClinic/CenterUrgent Care57619GEORGIANo
2261QP2300XClinic/CenterPrimary CareYes

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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