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MEDICLINIC OF GEORGIA P.C NPI 1336490010


NPI Information

NPI: 1336490010
Provider Name: MEDICLINIC OF GEORGIA P.C
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7887 ROSWELL RD STE B
SANDY SPRINGS, GA
ZIP 30350
Phone: (404) 635-6644
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MEDICLINIC OF GEORGIA P.C is a primary care clinic center in Sandy Springs, GA. MEDICLINIC OF GEORGIA P.C NPI is 1336490010. The provider is registered as an organization entity type.

The provider's business location address is:

7887 ROSWELL RD STE B
SANDY SPRINGS, GA
ZIP 30350-829
Phone: (404) 635-6644

The provider's authorized official is Elvira Margarita Garcia .
The authorized official title is Medical Director and has the following contact phone number (404) 395-6644.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 9/21/2012.


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
1261QP2300XClinic/CenterPrimary Care068412MICRONESIAYes

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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