EXPRESS CLINIC LLC NPI 1023768090

NPI Information

  • NPI: 1023768090
  • Provider Name: EXPRESS CLINIC, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: EXPRESS CLINIC
  • CLIA Number: 11D2235970
  • Address: 3350 STEVE REYNOLDS BLVD
    STE 408
    DULUTH, GA
    ZIP 30096
  • Phone: (678) 783-4449

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NPI Details

EXPRESS CLINIC, LLC is a general practice in Duluth, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EXPRESS CLINIC, LLC NPI is 1023768090. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Express Clinic.

The provider's business location address is:

3350 STEVE REYNOLDS BLVD
STE 408
DULUTH, GA
ZIP 30096
Phone: (678) 783-4449

The provider's authorized official is Solomon Matovu .
The authorized official title is Ceo and has the following contact phone number (678) 783-4927.

The CLIA number assigned to this NPI record is 11D2235970 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2022 and was last updated on 8/23/2023.

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
1208D00000XGeneral PracticeYes

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: 3/30/2025

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