MACK XPRESS MEDICAL DIAGNOSTICS AND PHYSICALS NPI 1326754789

NPI Information

NPI: 1326754789
Provider Name: MACK XPRESS MEDICAL DIAGNOSTICS AND PHYSICALS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
45 PINE GROVE RD
LOCUST GROVE, GA
ZIP 30248
Phone: (470) 507-4444
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MACK XPRESS MEDICAL DIAGNOSTICS AND PHYSICALS is a health service clinic center in Locust Grove, GA. MACK XPRESS MEDICAL DIAGNOSTICS AND PHYSICALS NPI is 1326754789. The provider is registered as an organization entity type.

The provider's business location address is:

45 PINE GROVE RD
LOCUST GROVE, GA
ZIP 30248-561
Phone: (470) 507-4444
Fax: (470) 878-4788

The provider's authorized official is Kakethia S Mack .
The authorized official title is Owner and has the following contact phone number (678) 951-3794.

The enumeration date for this NPI number is 1/27/2023 and was last updated on 1/27/2023.

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	261QH0100X	Clinic/Center	Health Service			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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