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PIEDMONT MEDICAL ASSOCIATES LLC NPI 1588024251


NPI Information

NPI: 1588024251
Provider Name: PIEDMONT MEDICAL ASSOCIATES, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2138886

Address:
4062 PEACHTREE RD NE
STE C
BROOKHAVEN, GA
ZIP 30319
Phone: (404) 231-4231
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PIEDMONT MEDICAL ASSOCIATES, LLC is a primary care clinic center in Brookhaven, GA. PIEDMONT MEDICAL ASSOCIATES, LLC NPI is 1588024251. The provider is registered as an organization entity type.

The provider's business location address is:

4062 PEACHTREE RD NE
STE C
BROOKHAVEN, GA
ZIP 30319-021
Phone: (404) 231-4231

The provider's authorized official is David Scurlock .
The authorized official title is Physician Managing Member and has the following contact phone number (404) 966-0385.

The CLIA number assigned to this NPI record is 11D2138886 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.


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
1261QP2300XClinic/CenterPrimary CareGEORGIAYes

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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