D R HEALTH SERVICES PC NPI 1407927361

NPI Information

NPI: 1407927361
Provider Name: D R HEALTH SERVICES PC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
10 WOLVERTON CT
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 778-1349
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D R HEALTH SERVICES PC is a psychiatric/mental health nurse practitioner in Stone Mountain, GA. D R HEALTH SERVICES PC NPI is 1407927361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 WOLVERTON CT
STONE MOUNTAIN, GA
ZIP 30087-514
Phone: (770) 778-1349
Fax: (770) 717-6646

The provider's authorized official is Deborah Reed .
The authorized official title is Ceo and has the following contact phone number (770) 778-1349.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 11/15/2007.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R102945	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1154358208	OTHER	GEORGIA	NPI
2	GRP7899	MEDICARE UPIN

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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