SCREVEN PRIMARY CARE NPI 1942803689

NPI Information

NPI: 1942803689
Provider Name: SCREVEN PRIMARY CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2028836

Address:
213 MIMS RD
SYLVANIA, GA
ZIP 30467
Phone: (912) 303-7729
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SCREVEN PRIMARY CARE is a primary care clinic center in Sylvania, GA. SCREVEN PRIMARY CARE NPI is 1942803689. The provider is registered as an organization entity type.

The provider's business location address is:

213 MIMS RD
SYLVANIA, GA
ZIP 30467-994
Phone: (912) 303-7729
Fax: (912) 564-2174

The provider's authorized official is Sherma Peter .
The authorized official title is Owner and has the following contact phone number (912) 303-7729.

The CLIA number assigned to this NPI record is 11D2028836 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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			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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