HOME PHYSICIAN CARE OF NORTHWEST GEORGIA LLC NPI 1235545617

NPI Information

NPI: 1235545617
Provider Name: HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1825 MCENTIRE CIR
CHATSWORTH, GA
ZIP 30705
Phone: (678) 986-6144
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HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC is an adult health clinical nurse specialist in Chatsworth, GA. HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC NPI is 1235545617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1825 MCENTIRE CIR
CHATSWORTH, GA
ZIP 30705-945
Phone: (678) 986-6144

The provider's authorized official is Tommy Dalton Bledsoe .
The authorized official title is Medical Director and has the following contact phone number (678) 986-6144.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.

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	364SA2200X	Clinical Nurse Specialist	Adult Health			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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