BUCKHEAD CLINIC LLC NPI 1073811246

NPI Information

NPI: 1073811246
Provider Name: BUCKHEAD CLINIC, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3115 PIEDMONT ROAD NE
ATLANTA, GA
ZIP 30305
Phone: (770) 643-2010
Get Directions

BUCKHEAD CLINIC, LLC is a general practice in Atlanta, GA. BUCKHEAD CLINIC, LLC NPI is 1073811246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3115 PIEDMONT ROAD NE
ATLANTA, GA
ZIP 30305
Phone: (770) 643-2010
Fax: (770) 643-2011

The provider's authorized official is John Y Salinas .
The authorized official title is Mbr and has the following contact phone number (404) 992-9130.

The enumeration date for this NPI number is 3/11/2011 and was last updated on 3/11/2011.

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
1	208D00000X	General Practice		38600	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1205002946	OTHER	GEORGIA	INDIV NPI - JOHN Y SALINAS

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »