KELLY RICH FAMILY MEDICINE NPI 1194274951

NPI Information

NPI: 1194274951
Provider Name: KELLY RICH FAMILY MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1215 EAGLES LANDING PKWY
SUITE 211
STOCKBRIDGE, GA
ZIP 30281
Phone: (470) 878-6912
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KELLY RICH FAMILY MEDICINE is a primary care clinic center in Stockbridge, GA. KELLY RICH FAMILY MEDICINE NPI is 1194274951. The provider is registered as an organization entity type.

The provider's business location address is:

1215 EAGLES LANDING PKWY
SUITE 211
STOCKBRIDGE, GA
ZIP 30281-279
Phone: (470) 878-6912
Fax: (470) 878-1849

The provider's authorized official is Kelly Gardner Rich .
The authorized official title is Ceo and has the following contact phone number (678) 859-1483.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.

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	047988	GEORGIA	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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