COLLECTIVE CONSULTING ENTERPRISE NPI 1194984690

NPI Information

NPI: 1194984690
Provider Name: COLLECTIVE CONSULTING ENTERPRISE
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
6555 SUGARLOAF PKWY
SUITE 307,#231
DULUTH, GA
ZIP 30097
Phone: (678) 379-4557
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COLLECTIVE CONSULTING ENTERPRISE is a surgical physician assistant in Duluth, GA. COLLECTIVE CONSULTING ENTERPRISE NPI is 1194984690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6555 SUGARLOAF PKWY
SUITE 307,#231
DULUTH, GA
ZIP 30097-930
Phone: (678) 379-4557
Fax: (678) 475-3992

The provider's authorized official is Abimbola Abosede Okunsanya .
The authorized official title is President/owner and has the following contact phone number (678) 379-4557.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

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
1	363AS0400X	Physician Assistant	Surgical	004091	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

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