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AFFINITY ACQUISITIONS GEORGIA LLC NPI 1538719133


NPI Information

NPI: 1538719133
Provider Name: AFFINITY ACQUISITIONS GEORGIA LLC

Doing Business As: AFFINITY CHRONIC CARE OF GA

Classification: Clinical Nurse Specialist - 364SC2300X
Entity Type: Organization

Specialization: Chronic Care

CLIA Number: 01D2228829

Address:
12 SAMMY MCGHEE BLVD STE 202
JASPER, GA
ZIP 30143
Phone: (706) 403-4033
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AFFINITY ACQUISITIONS GEORGIA LLC is a chronic care clinical nurse specialist in Jasper, GA. AFFINITY ACQUISITIONS GEORGIA LLC NPI is 1538719133. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Affinity Chronic Care Of Ga.

The provider's business location address is:

12 SAMMY MCGHEE BLVD STE 202
JASPER, GA
ZIP 30143-712
Phone: (706) 403-4033
Fax: (800) 624-7404

The provider's authorized official is Thomas Sefcik .
The authorized official title is Cfo and has the following contact phone number (205) 949-0400.

The CLIA number assigned to this NPI record is 01D2228829 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2019 and was last updated on 1/13/2020.


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
1364SC2300XClinical Nurse SpecialistChronic CareYes

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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