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SPECIALTY CLINICS OF GEORGIA PC NPI 1982703823


NPI Information

NPI: 1982703823
Provider Name: SPECIALTY CLINICS OF GEORGIA, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D1039272

Address:
1240 JESSE JEWELL PKWY SE
STE 300
GAINESVILLE, GA
ZIP 30501
Phone: (770) 534-7200
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SPECIALTY CLINICS OF GEORGIA, PC is a specialist in Gainesville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPECIALTY CLINICS OF GEORGIA, PC NPI is 1982703823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1240 JESSE JEWELL PKWY SE
STE 300
GAINESVILLE, GA
ZIP 30501-862
Phone: (770) 534-7200

The provider's authorized official is Kevin Jarrard .
The authorized official title is Ceo and has the following contact phone number (770) 534-7200.

The CLIA number assigned to this NPI record is 11D1039272 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/14/2018.


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
1174400000XSpecialistGEORGIAYes

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.