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ZENIA 2 LLC DBA SUGARLOAF PRIMARY CARE NPI 1699131888


NPI Information

NPI: 1699131888
Provider Name: ZENIA 2 LLC, DBA SUGARLOAF PRIMARY CARE

Doing Business As: SUGARLOAF PRIMARY CARE

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

Specialization: Primary Care

CLIA Number: 11D2237839

Address:
4835 SUGARLOAF PKWY SUITE 300
LAWRENCEVILLE, GA
ZIP 30044
Phone: (470) 375-5940
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ZENIA 2 LLC, DBA SUGARLOAF PRIMARY CARE is a primary care clinic center in Lawrenceville, GA. ZENIA 2 LLC, DBA SUGARLOAF PRIMARY CARE NPI is 1699131888. The provider is registered as an organization entity type.
The provider Is Doing Business As Sugarloaf Primary Care.

The provider's business location address is:

4835 SUGARLOAF PKWY SUITE 300
LAWRENCEVILLE, GA
ZIP 30044
Phone: (470) 375-5940
Fax: (800) 513-4431

The provider's authorized official is Zafreen Nayani .
The authorized official title is Owner and has the following contact phone number (470) 375-5940.

The CLIA number assigned to this NPI record is 11D2237839 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.


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
1261QP2300XClinic/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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