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SIDCORP LLC NPI 1043967268


NPI Information

NPI: 1043967268
Provider Name: SIDCORP LLC

Doing Business As: ADVANCED MEDICAL AND WEIGHT LOSS CENTER

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 11D2258668

Address:
5575 N POINT PKWY STE 32
ALPHARETTA, GA
ZIP 30022
Phone: (770) 467-3975
Get Directions

SIDCORP LLC is an addiction medicine internal medicine in Alpharetta, GA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. SIDCORP LLC NPI is 1043967268. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Medical And Weight Loss Center.

The provider's business location address is:

5575 N POINT PKWY STE 32
ALPHARETTA, GA
ZIP 30022
Phone: (770) 467-3975

The provider's authorized official is Nick Sidhu .
The authorized official title is Physician and has the following contact phone number (770) 467-3975.

The CLIA number assigned to this NPI record is 11D2258668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 1/22/2023.


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
1208VP0000XPain MedicinePain MedicineNo
2207RA0401XInternal MedicineAddiction MedicineYes

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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