HAMILTON MILL FAMILY COMPLETE CARE NPI 1629403571

NPI Information

NPI: 1629403571
Provider Name: HAMILTON MILL FAMILY COMPLETE CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3515 BRASELTON HWY
BLDG. E-2
DACULA, GA
ZIP 30019
Phone: (770) 614-6630
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HAMILTON MILL FAMILY COMPLETE CARE is a family nurse practitioner in Dacula, GA. HAMILTON MILL FAMILY COMPLETE CARE NPI is 1629403571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3515 BRASELTON HWY
BLDG. E-2
DACULA, GA
ZIP 30019
Phone: (770) 614-6630

The provider's authorized official is Russell Glassman .
The authorized official title is Ceo/owner and has the following contact phone number (770) 614-6630.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 12/19/2013.

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			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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