ADVANCE CARE MEDICAL PCP GEORGIA INC. NPI 1679221030

NPI Information

NPI: 1679221030
Provider Name: ADVANCE CARE MEDICAL PCP GEORGIA, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5749 WENDY BAGWELL PKWY
HIRAM, GA
ZIP 30141
Phone: (866) 668-2188
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ADVANCE CARE MEDICAL PCP GEORGIA, INC. is a primary care clinic center in Hiram, GA. ADVANCE CARE MEDICAL PCP GEORGIA, INC. NPI is 1679221030. The provider is registered as an organization entity type.

The provider's business location address is:

5749 WENDY BAGWELL PKWY
HIRAM, GA
ZIP 30141-815
Phone: (866) 668-2188

The provider's authorized official is Justin Smith .
The authorized official title is Executive Chairman and has the following contact phone number (866) 668-2188.

The enumeration date for this NPI number is 3/15/2022 and was last updated on 3/15/2022.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QP2300X	Clinic/Center	Primary Care			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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