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CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR NPI 1659552115


NPI Information

NPI: 1659552115
Provider Name: CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1059979

Address:
3490 CLAIRMONT RD
ATLANTA, GA
ZIP 30319
Phone: (404) 477-1218
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CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR is a primary care clinic center in Atlanta, GA. CLAIRMONT MEDICAL CLINIC LLC BELACHEW YOHANNES A EI AL MBR NPI is 1659552115. The provider is registered as an organization entity type.

The provider's business location address is:

3490 CLAIRMONT RD
ATLANTA, GA
ZIP 30319
Phone: (404) 477-1218

The provider's authorized official is Yohannes A Belachew .
The authorized official title is Owner and has the following contact phone number (404) 477-1218.

The CLIA number assigned to this NPI record is 11D1059979 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 7/21/2022.


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 CareGEORGIANo
2261QP2300XClinic/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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