BONSERVA ACUTE PRIMARY CARE CENTER NPI 1295966216

NPI Information

NPI: 1295966216
Provider Name: BONSERVA ACUTE PRIMARY CARE CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4940 GOVERNORS DR STE 209
FOREST PARK, GA
ZIP 30297
Phone: (404) 366-8111
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BONSERVA ACUTE PRIMARY CARE CENTER is a primary care clinic center in Forest Park, GA. BONSERVA ACUTE PRIMARY CARE CENTER NPI is 1295966216. The provider is registered as an organization entity type.

The provider's business location address is:

4940 GOVERNORS DR STE 209
FOREST PARK, GA
ZIP 30297-186
Phone: (404) 366-8111
Fax: (404) 366-8102

The provider's authorized official is Camille Pleshette Cook .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (404) 366-8111.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 8/7/2009.

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			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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