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ALPHA MEDICAL WELLNESS AND WALK IN CLINIC LLC NPI 1053033522


NPI Information

NPI: 1053033522
Provider Name: ALPHA MEDICAL WELLNESS AND WALK IN CLINIC LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D2276988

Address:
130 MEDICAL WAY
SUITE B
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 759-0059
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ALPHA MEDICAL WELLNESS AND WALK IN CLINIC LLC is an internal medicine in Stockbridge, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALPHA MEDICAL WELLNESS AND WALK IN CLINIC LLC NPI is 1053033522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 MEDICAL WAY
SUITE B
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 759-0059
Fax: (678) 623-8054

The provider's authorized official is Olusegun Osun .
The authorized official title is Office Manager and has the following contact phone number (678) 759-0059.

The CLIA number assigned to this NPI record is 11D2276988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2022 and was last updated on 5/2/2023.


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
1207R00000XInternal 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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