LEXINGTON PRIMARY CARE LLC NPI 1942809108

NPI Information

NPI: 1942809108
Provider Name: LEXINGTON PRIMARY CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2204882

Address:
777 ATHENS RD
LEXINGTON, GA
ZIP 30648
Phone: (770) 331-9113
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LEXINGTON PRIMARY CARE LLC is a primary care clinic center in Lexington, GA. LEXINGTON PRIMARY CARE LLC NPI is 1942809108. The provider is registered as an organization entity type.

The provider's business location address is:

777 ATHENS RD
LEXINGTON, GA
ZIP 30648-902
Phone: (770) 331-9113

The provider's authorized official is Afaq Alam Gul .
The authorized official title is Md and has the following contact phone number (770) 331-9113.

The CLIA number assigned to this NPI record is 11D2204882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/20/2020.

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	261QP2300X	Clinic/Center	Primary Care			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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