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UNITEDHANDS HEALTH & WELLNESS CLINIC LLC NPI 1366045130


NPI Information

NPI: 1366045130
Provider Name: UNITEDHANDS HEALTH & WELLNESS CLINIC LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2209202

Address:
1115 MOUNT ZION RD
MORROW, GA
ZIP 30260
Phone: (404) 883-9140
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UNITEDHANDS HEALTH & WELLNESS CLINIC LLC is a primary care nurse practitioner in Morrow, GA. UNITEDHANDS HEALTH & WELLNESS CLINIC LLC NPI is 1366045130. The provider is registered as an organization entity type.

The provider's business location address is:

1115 MOUNT ZION RD
MORROW, GA
ZIP 30260-266
Phone: (404) 883-9140

The provider's authorized official is Vera Mahou .
The authorized official title is Np-c and has the following contact phone number (404) 883-9140.

The CLIA number assigned to this NPI record is 11D2209202 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 3/9/2021.


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
1261QU0200XClinic/CenterUrgent CareNo
2363LG0600XNurse PractitionerGerontologyNo
3363LP2300XNurse PractitionerPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.