EXPRESS HEALTH CENTER INC. NPI 1679919831

NPI Information

NPI: 1679919831
Provider Name: EXPRESS HEALTH CENTER INC.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3149 E SHADOWLAWN AVE NE
ATLANTA, GA
ZIP 30305
Phone: (404) 549-7021
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EXPRESS HEALTH CENTER INC. is a pain clinic center in Atlanta, GA. EXPRESS HEALTH CENTER INC. NPI is 1679919831. The provider is registered as an organization entity type.

The provider's business location address is:

3149 E SHADOWLAWN AVE NE
ATLANTA, GA
ZIP 30305-405
Phone: (404) 549-7021
Fax: (404) 549-7957

The provider's authorized official is Anthony B Licata .
The authorized official title is President and has the following contact phone number (954) 336-0409.

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/15/2013.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QP3300X	Clinic/Center	Pain			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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