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IT IS WELL HEALTHCARE LLC NPI 1972192235


NPI Information

NPI: 1972192235
Provider Name: IT IS WELL HEALTHCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2189404

Address:
105 VILLAGE WALK STE 280
DALLAS, GA
ZIP 30132
Phone: (770) 800-6780
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IT IS WELL HEALTHCARE, LLC is a family medicine in Dallas, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IT IS WELL HEALTHCARE, LLC NPI is 1972192235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 VILLAGE WALK STE 280
DALLAS, GA
ZIP 30132-506
Phone: (770) 800-6780

The provider's authorized official is Tara Howell .
The authorized official title is Owner and has the following contact phone number (678) 410-1781.

The CLIA number assigned to this NPI record is 11D2189404 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 1/12/2021.


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
1207Q00000XFamily MedicineYes

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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