DIVINE FAMILY HEALTHCARE SERVICES LLC NPI 1518467000

NPI Information

NPI: 1518467000
Provider Name: DIVINE FAMILY HEALTHCARE SERVICES, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1720 MARS HILL RD NW STE 4
ACWORTH, GA
ZIP 30101
Phone: (770) 865-3748
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DIVINE FAMILY HEALTHCARE SERVICES, LLC is a family nurse practitioner in Acworth, GA. DIVINE FAMILY HEALTHCARE SERVICES, LLC NPI is 1518467000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1720 MARS HILL RD NW STE 4
ACWORTH, GA
ZIP 30101-089
Phone: (770) 865-3748

The provider's authorized official is Ngozi Gloria Okoro .
The authorized official title is Nurse Practitioner and has the following contact phone number (678) 361-0116.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 2/20/2018.

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	363LF0000X	Nurse Practitioner	Family	NCO-000001	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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