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DISCOVER INTEGRATED HEALTH LLC NPI 1922525054


NPI Information

NPI: 1922525054
Provider Name: DISCOVER INTEGRATED HEALTH, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3940 CHEROKEE ST NW STE 402
KENNESAW, GA
ZIP 30144
Phone: (770) 423-9010
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DISCOVER INTEGRATED HEALTH, LLC is a general practice in Kennesaw, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DISCOVER INTEGRATED HEALTH, LLC NPI is 1922525054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3940 CHEROKEE ST NW STE 402
KENNESAW, GA
ZIP 30144-420
Phone: (770) 423-9010
Fax: (770) 423-9767

The provider's authorized official is Craig Daniel Gruber .
The authorized official title is Administrator and has the following contact phone number (770) 423-9010.

The enumeration date for this NPI number is 8/29/2017 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
1208D00000XGeneral PracticeYes

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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