MOREHOUSE MEDICAL ASSOCIATE NPI 1659401487

NPI Information

NPI: 1659401487
Provider Name: MOREHOUSE MEDICAL ASSOCIATE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2291769

Address:
1513 CLEVELAND AVE
500
EAST POINT, GA
ZIP 30344
Phone: (404) 752-1000
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MOREHOUSE MEDICAL ASSOCIATE is a primary care clinic center in East Point, GA. MOREHOUSE MEDICAL ASSOCIATE NPI is 1659401487. The provider is registered as an organization entity type.

The provider's business location address is:

1513 CLEVELAND AVE
500
EAST POINT, GA
ZIP 30344-947
Phone: (404) 752-1000

The provider's authorized official is Jasmine S Bajnath .
The authorized official title is Credentialing Manager and has the following contact phone number (404) 756-5752.

The CLIA number assigned to this NPI record is 11D2291769 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/7/2007 and was last updated on 3/28/2018.

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	261QP2300X	Clinic/Center	Primary Care	51	GEORGIA	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

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