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JENCARE NEIGHBORHOOD MEDICAL CENTER MORROW LLC NPI 1336571868


NPI Information

NPI: 1336571868
Provider Name: JENCARE NEIGHBORHOOD MEDICAL CENTER MORROW, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D2065709

Address:
1331 MOUNT ZION RD
MORROW, GA
ZIP 30260
Phone: (305) 628-6117
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JENCARE NEIGHBORHOOD MEDICAL CENTER MORROW, LLC is a specialist in Morrow, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JENCARE NEIGHBORHOOD MEDICAL CENTER MORROW, LLC NPI is 1336571868. The provider is registered as an organization entity type.

The provider's business location address is:

1331 MOUNT ZION RD
MORROW, GA
ZIP 30260-357
Phone: (305) 628-6117

The provider's authorized official is Gordon Chen .
The authorized official title is Owner and has the following contact phone number (305) 628-6117.

The CLIA number assigned to this NPI record is 11D2065709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 8/7/2013.


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
1332900000XNon-Pharmacy Dispensing Site69561GEORGIANo
2174400000XSpecialist69561GEORGIAYes

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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