IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC NPI 1760036925

NPI Information

NPI: 1760036925
Provider Name: IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA
ZIP 30269
Phone: (678) 967-5599
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IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC is a pulmonary disease internal medicine in Peachtree City, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC NPI is 1760036925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 EASTBROOK BND STE 218
PEACHTREE CITY, GA
ZIP 30269-546
Phone: (678) 967-5599

The provider's authorized official is Paul Miller .
The authorized official title is Ceo and has the following contact phone number (678) 967-5599.

The enumeration date for this NPI number is 7/26/2019 and was last updated on 7/26/2019.

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	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			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

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