PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC NPI 1386339141

NPI Information

NPI: 1386339141
Provider Name: PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC

Doing Business As: MOUNTAIN LAKES PHYSICIANS GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
162 LEGACY PT
CLAYTON, GA
ZIP 30525
Phone: (706) 782-3100
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PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC is a rural health clinic center in Clayton, GA. PROFESSIONAL RESOURCES MANAGEMENT OF RABUN LLC NPI is 1386339141. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Lakes Physicians Group.

The provider's business location address is:

162 LEGACY PT
CLAYTON, GA
ZIP 30525-354
Phone: (706) 782-3100

The provider's authorized official is Kristy Hall .
The authorized official title is Chief Executive Officer and has the following contact phone number (706) 782-0400.

The enumeration date for this NPI number is 4/7/2023 and was last updated on 8/8/2023.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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

NPI Synchronization or Removal

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