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BOWDON-MT ZION PRIMARY HEALTH CENTER INC. NPI 1417428772


NPI Information

NPI: 1417428772
Provider Name: BOWDON-MT ZION PRIMARY HEALTH CENTER INC.

Doing Business As: MTZION PRIMARY HEALTHCARE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0874979

Address:
4248 MOUNT ZION RD
CARROLLTON, GA
ZIP 30117
Phone: (770) 836-0103
Get Directions

BOWDON-MT ZION PRIMARY HEALTH CENTER INC. is a family medicine in Carrollton, 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. BOWDON-MT ZION PRIMARY HEALTH CENTER INC. NPI is 1417428772. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mtzion Primary Healthcare Clinic.

The provider's business location address is:

4248 MOUNT ZION RD
CARROLLTON, GA
ZIP 30117-602
Phone: (770) 836-0103
Fax: (770) 834-8828

The provider's authorized official is Christy Brewer .
The authorized official title is Office Manager and has the following contact phone number (706) 675-8669.

The CLIA number assigned to this NPI record is 11D0874979 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 3/18/2022.


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 MedicineYes

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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