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IMMUNE RECOVERY INSTITUTE INC NPI 1295050987


NPI Information

NPI: 1295050987
Provider Name: IMMUNE RECOVERY INSTITUTE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4536 CHAMBLEE DUNWOODY RD
STE 250
DUNWOODY, GA
ZIP 30338
Phone: (770) 455-6100
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IMMUNE RECOVERY INSTITUTE INC is a family medicine in Dunwoody, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IMMUNE RECOVERY INSTITUTE INC NPI is 1295050987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4536 CHAMBLEE DUNWOODY RD
STE 250
DUNWOODY, GA
ZIP 30338-200
Phone: (770) 455-6100
Fax: (770) 455-1999

The provider's authorized official is Samuel Edward Bradford .
The authorized official title is Ceo and has the following contact phone number (770) 455-6100.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 4/6/2010.


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
1207Q00000XFamily 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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