LIVING STONE HOUSE CALLS NPI 1417479411

NPI Information

NPI: 1417479411
Provider Name: LIVING STONE HOUSE CALLS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2275 GREESON RD NE
STATHAM, GA
ZIP 30666
Phone: (770) 401-6516
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LIVING STONE HOUSE CALLS is a health service clinic center in Statham, GA. LIVING STONE HOUSE CALLS NPI is 1417479411. The provider is registered as an organization entity type.

The provider's business location address is:

2275 GREESON RD NE
STATHAM, GA
ZIP 30666-111
Phone: (770) 401-6516

The provider's authorized official is Tiffany Lanford .
The authorized official title is Ceo and has the following contact phone number (770) 401-6515.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 10/2/2017.

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	261QH0100X	Clinic/Center	Health Service		GEORGIA	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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