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MIDNIGHT ROSE LLC NPI 1386260131


NPI Information

NPI: 1386260131
Provider Name: MIDNIGHT ROSE, LLC

Doing Business As: ABBYCARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D2206451

Address:
6380 BELLS FERRY RD STE 107
ACWORTH, GA
ZIP 30102
Phone: (404) 835-0827
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MIDNIGHT ROSE, LLC is a general practice in Acworth, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIDNIGHT ROSE, LLC NPI is 1386260131. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Abbycare.

The provider's business location address is:

6380 BELLS FERRY RD STE 107
ACWORTH, GA
ZIP 30102-435
Phone: (404) 835-0827

The provider's authorized official is Christina Abernathy .
The authorized official title is Chief Operations Officer and has the following contact phone number (404) 835-0827.

The CLIA number assigned to this NPI record is 11D2206451 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 12/3/2020.


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
1208D00000XGeneral PracticeYes

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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