TRANSFORMATIONS PEDIATRIC HEALTH AND WELLNESS LLC NPI 1699282665

NPI Information

NPI: 1699282665
Provider Name: TRANSFORMATIONS PEDIATRIC HEALTH AND WELLNESS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1448 LUCILE AVE SW
ATLANTA, GA
ZIP 30310
Phone: (585) 752-9696
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TRANSFORMATIONS PEDIATRIC HEALTH AND WELLNESS, LLC is a primary care clinic center in Atlanta, GA. TRANSFORMATIONS PEDIATRIC HEALTH AND WELLNESS, LLC NPI is 1699282665. The provider is registered as an organization entity type.

The provider's business location address is:

1448 LUCILE AVE SW
ATLANTA, GA
ZIP 30310-217
Phone: (585) 752-9696

The provider's authorized official is Tennisha Edwards .
The authorized official title is Nurse Practitioner and has the following contact phone number (585) 752-9696.

The enumeration date for this NPI number is 12/29/2017 and was last updated on 2/5/2021.

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	RN261933	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

NPI Synchronization or Removal

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