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PREVENTCLINIC INC. NPI 1306346853


NPI Information

NPI: 1306346853
Provider Name: PREVENTCLINIC, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
6000 LAKE FORREST DR STE 540
SANDY SPRINGS, GA
ZIP 30328
Phone: (470) 735-5045
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PREVENTCLINIC, INC. is a cardiovascular disease internal medicine in Sandy Springs, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PREVENTCLINIC, INC. NPI is 1306346853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6000 LAKE FORREST DR STE 540
SANDY SPRINGS, GA
ZIP 30328
Phone: (470) 735-5045

The provider's authorized official is David E. Montgomery .
The authorized official title is Owner/ Physician and has the following contact phone number (470) 735-5045.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 7/18/2018.


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
1174400000XSpecialistNo
2405300000XPrevention ProfessionalNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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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