WATERWORKSNOW INCORPORATED NPI 1972036978

NPI Information

NPI: 1972036978
Provider Name: WATERWORKSNOW, INCORPORATED
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1525 E PARK PLACE BLVD
SUITE 1800
STONE MOUNTAIN, GA
ZIP 30087
Phone: (678) 558-6767
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WATERWORKSNOW, INCORPORATED is a health service clinic center in Stone Mountain, GA. WATERWORKSNOW, INCORPORATED NPI is 1972036978. The provider is registered as an organization entity type.

The provider's business location address is:

1525 E PARK PLACE BLVD
SUITE 1800
STONE MOUNTAIN, GA
ZIP 30087-453
Phone: (678) 558-6767

The provider's authorized official is Cynthia Goodman .
The authorized official title is Ceo/president and has the following contact phone number 67855886767.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 4/6/2017.

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	261QM2500X	Clinic/Center	Medical Specialty	48419	GEORGIA	No
2	261QP2000X	Clinic/Center	Physical Therapy	48419	GEORGIA	No
3	261QR1100X	Clinic/Center	Research	48419	GEORGIA	No
4	261QH0100X	Clinic/Center	Health Service	48419	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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