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SUPERIOR HEALTHCARE OF CANTON LLC NPI 1619350329


NPI Information

NPI: 1619350329
Provider Name: SUPERIOR HEALTHCARE OF CANTON, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2050 CUMMING HWY
SUITE 100
CANTON, GA
ZIP 30115
Phone: (770) 345-9600
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SUPERIOR HEALTHCARE OF CANTON, LLC is a general practice in Canton, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SUPERIOR HEALTHCARE OF CANTON, LLC NPI is 1619350329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2050 CUMMING HWY
SUITE 100
CANTON, GA
ZIP 30115-314
Phone: (770) 345-9600
Fax: (770) 345-9611

The provider's authorized official is Julia Mcclellan Thorne .
The authorized official title is Owner and has the following contact phone number (770) 345-9600.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 10/6/2015.


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
1208D00000XGeneral Practice14936GEORGIAYes

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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