GREEN OUTCOME TELEHEALTH NPI 1962191718

NPI Information

NPI: 1962191718
Provider Name: GREEN OUTCOME TELEHEALTH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
850 HOUNDS RIDGE CT
LAWRENCEVILLE, GA
ZIP 30043
Phone: (339) 222-0003
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GREEN OUTCOME TELEHEALTH is a primary care clinic center in Lawrenceville, GA. GREEN OUTCOME TELEHEALTH NPI is 1962191718. The provider is registered as an organization entity type.

The provider's business location address is:

850 HOUNDS RIDGE CT
LAWRENCEVILLE, GA
ZIP 30043-359
Phone: (339) 222-0003

The provider's authorized official is Urielle Joseph .
The authorized official title is Founder and has the following contact phone number (339) 222-0003.

The enumeration date for this NPI number is 5/5/2023 and was last updated on 5/5/2023.

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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