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GEORGIA VOLUNTEER HEALTH CARE PROGRAM NPI 1710437579


NPI Information

NPI: 1710437579
Provider Name: GEORGIA VOLUNTEER HEALTH CARE PROGRAM
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6744 BROOKFIELD WAY
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 837-5656
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GEORGIA VOLUNTEER HEALTH CARE PROGRAM is a clinic center in Douglasville, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GEORGIA VOLUNTEER HEALTH CARE PROGRAM NPI is 1710437579. The provider is registered as an organization entity type.

The provider's business location address is:

6744 BROOKFIELD WAY
DOUGLASVILLE, GA
ZIP 30134-461
Phone: (770) 837-5656

The provider's authorized official is Princess B. Clark .
The authorized official title is Fnp and has the following contact phone number (770) 837-5656.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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
1261Q00000XClinic/CenterRN128145GEORGIAYes

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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