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SURGICAL HEALTH COLLECTIVE NPI 1063714814


NPI Information

NPI: 1063714814
Provider Name: SURGICAL HEALTH COLLECTIVE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
777 CLEVELAND AVE SW
SUITE 305
ATLANTA, GA
ZIP 30315
Phone: (404) 761-7482
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SURGICAL HEALTH COLLECTIVE is a specialist in Atlanta, 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. SURGICAL HEALTH COLLECTIVE NPI is 1063714814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 CLEVELAND AVE SW
SUITE 305
ATLANTA, GA
ZIP 30315-129
Phone: (404) 761-7482

The provider's authorized official is Mark Lamont Walker .
The authorized official title is Medical Director and has the following contact phone number (404) 761-7482.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist026953GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000298284EMEDICAIDGEORGIA
2D41303MEDICARE UPIN
3059422187AMEDICARE PIN

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: 4/28/2024

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