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NATIONS MEDICAL CLINIC INC NPI 1427664333


NPI Information

NPI: 1427664333
Provider Name: NATIONS MEDICAL CLINIC INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D2229338

Address:
3099 BREDKINRIDGE BLVD. SUITE 110
SUITE 110
DULUTH, GA
ZIP 30096
Phone: (678) 242-8035
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NATIONS MEDICAL CLINIC INC is an internal medicine in Duluth, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NATIONS MEDICAL CLINIC INC NPI is 1427664333. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3099 BREDKINRIDGE BLVD. SUITE 110
SUITE 110
DULUTH, GA
ZIP 30096-011
Phone: (678) 242-8035
Fax: (678) 373-1645

The provider's authorized official is Charles Agunobi .
The authorized official title is Owner and has the following contact phone number (704) 674-9147.

The CLIA number assigned to this NPI record is 11D2229338 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 3/7/2023.


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
1207R00000XInternal MedicineYes

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
138161OTHERGEORGIALICENSE

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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