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MEDICAL CONSULTANTS OF SOUTHEAST NPI 1104084409


NPI Information

NPI: 1104084409
Provider Name: MEDICAL CONSULTANTS OF SOUTHEAST
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1415 HIGHWAY 85 N
SUITE 310-384
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 556-1114
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MEDICAL CONSULTANTS OF SOUTHEAST is a clinic center in Fayetteville, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MEDICAL CONSULTANTS OF SOUTHEAST NPI is 1104084409. The provider is registered as an organization entity type.

The provider's business location address is:

1415 HIGHWAY 85 N
SUITE 310-384
FAYETTEVILLE, GA
ZIP 30214-035
Phone: (404) 556-1114

The provider's authorized official is Joseph W. Williams .
The authorized official title is President and has the following contact phone number (404) 556-1114.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.


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
1261Q00000XClinic/Center013102GEORGIAYes

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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