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ATLANTA PREMIER OB/GYN ASSOCIATES PC NPI 1700131836


NPI Information

NPI: 1700131836
Provider Name: ATLANTA PREMIER OB/GYN ASSOCIATES, PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
764 MEMORIAL DR SE STE 101
ATLANTA, GA
ZIP 30316
Phone: (678) 705-4900
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ATLANTA PREMIER OB/GYN ASSOCIATES, PC is a medical specialty clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ATLANTA PREMIER OB/GYN ASSOCIATES, PC NPI is 1700131836. The provider is registered as an organization entity type.

The provider's business location address is:

764 MEMORIAL DR SE STE 101
ATLANTA, GA
ZIP 30316-573
Phone: (678) 705-4900
Fax: (678) 705-5441

The provider's authorized official is Tosha Rogers .
The authorized official title is Physician/owner and has the following contact phone number (678) 705-4900.

The enumeration date for this NPI number is 7/15/2012 and was last updated on 12/30/2022.


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
1261QM2500XClinic/CenterMedical Specialty064644GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003100100AMEDICAIDGEORGIA

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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