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DR MEDICAL ASSOCIATES LLC NPI 1982346151


NPI Information

NPI: 1982346151
Provider Name: DR MEDICAL ASSOCIATES LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 11D2212768

Address:
6853 DOUGLAS BLVD STE A
DOUGLASVILLE, GA
ZIP 30135
Phone: (770) 731-1114
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DR MEDICAL ASSOCIATES LLC is a geriatric medicine internal medicine in Douglasville, GA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR MEDICAL ASSOCIATES LLC NPI is 1982346151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6853 DOUGLAS BLVD STE A
DOUGLASVILLE, GA
ZIP 30135-178
Phone: (770) 731-1114
Fax: (404) 682-1396

The provider's authorized official is Ramon Ector .
The authorized official title is President and has the following contact phone number (770) 731-1114.

The CLIA number assigned to this NPI record is 11D2212768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 12/22/2023.


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
12251G0304XPhysical TherapistGeriatricsNo
22251X0800XPhysical TherapistOrthopedicNo
3291U00000XClinical Medical LaboratoryNo
4363L00000XNurse PractitionerNo
5225100000XPhysical TherapistNo
6103T00000XPsychologistNo
71041C0700XSocial WorkerClinicalNo
8183500000XPharmacistNo
9207RG0300XInternal MedicineGeriatric 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.