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SOWEGA AUTISM & PSYCHIATRY NPI 1730889593


NPI Information

NPI: 1730889593
Provider Name: SOWEGA AUTISM & PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 11D2277468

Address:
1909 ABERDEEN RD STE 104
ALBANY, GA
ZIP 31701
Phone: (229) 800-5547
Get Directions

SOWEGA AUTISM & PSYCHIATRY is a psychiatric/mental health nurse practitioner in Albany, GA. SOWEGA AUTISM & PSYCHIATRY NPI is 1730889593. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1909 ABERDEEN RD STE 104
ALBANY, GA
ZIP 31701-300
Phone: (229) 800-5547
Fax: (229) 800-5548

The provider's authorized official is Flora I Jones .
The authorized official title is Owner and has the following contact phone number (229) 869-2584.

The CLIA number assigned to this NPI record is 11D2277468 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2023 and was last updated on 3/8/2023.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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