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ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC NPI 1649739020


NPI Information

NPI: 1649739020
Provider Name: ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC

Doing Business As: ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
373 W LAKE AVE NW
ATLANTA, GA
ZIP 30318
Phone: (770) 366-9614
Get Directions

ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC is a family medicine in Atlanta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC NPI is 1649739020. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Accumedic Diagnostic Management Llc.

The provider's business location address is:

373 W LAKE AVE NW
ATLANTA, GA
ZIP 30318-123
Phone: (770) 366-9614

The provider's authorized official is Emman Desir .
The authorized official title is Ceo and has the following contact phone number (954) 487-7464.

The enumeration date for this NPI number is 3/15/2019 and was last updated on 8/21/2019.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
169322OTHERGEORGIALICENSE
2003142287SMEDICAIDGEORGIA

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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