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CLINICA FAMILIAR Y PRENATAL NPI 1336651702


NPI Information

NPI: 1336651702
Provider Name: CLINICA FAMILIAR Y PRENATAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2144493

Address:
155 MEDICAL WAY STE B
RIVERDALE, GA
ZIP 30274
Phone: (678) 755-5334
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CLINICA FAMILIAR Y PRENATAL is a family medicine in Riverdale, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLINICA FAMILIAR Y PRENATAL NPI is 1336651702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 MEDICAL WAY STE B
RIVERDALE, GA
ZIP 30274-940
Phone: (678) 755-5334
Fax: (404) 529-4430

The provider's authorized official is Bridgette Hannigan .
The authorized official title is Administrator and has the following contact phone number (678) 755-5334.

The CLIA number assigned to this NPI record is 11D2144493 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2017 and was last updated on 10/25/2017.


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
1207Q00000XFamily MedicineRN120872GEORGIAYes

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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