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WITHINME MD ATLANTA NPI 1972929685


NPI Information

NPI: 1972929685
Provider Name: WITHINME MD, ATLANTA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
604 GLEN IRIS DR NE
ATLANTA, GA
ZIP 30308
Phone: (404) 464-8169
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WITHINME MD, ATLANTA is a medical specialty clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WITHINME MD, ATLANTA NPI is 1972929685. The provider is registered as an organization entity type.

The provider's business location address is:

604 GLEN IRIS DR NE
ATLANTA, GA
ZIP 30308-717
Phone: (404) 464-8169
Fax: (404) 921-9577

The provider's authorized official is Derron Simon .
The authorized official title is Chief Medical Director and has the following contact phone number (804) 441-5040.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 3/6/2014.


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
1261QM2500XClinic/CenterMedical Specialty1366405037GEORGIAYes

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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