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WHOLE LIFE HEALTH CENTER LLC NPI 1174811996


NPI Information

NPI: 1174811996
Provider Name: WHOLE LIFE HEALTH CENTER LLC

Doing Business As: PAIN CENTER OF GWINNETT

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2000 RIVERSIDE PKWY
SUITE 206
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 407-8230
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WHOLE LIFE HEALTH CENTER LLC is a family medicine in Lawrenceville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WHOLE LIFE HEALTH CENTER LLC NPI is 1174811996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pain Center Of Gwinnett.

The provider's business location address is:

2000 RIVERSIDE PKWY
SUITE 206
LAWRENCEVILLE, GA
ZIP 30043-926
Phone: (678) 407-8230
Fax: (678) 407-8233

The provider's authorized official is Raymond T Alexander .
The authorized official title is Owner/president and has the following contact phone number (678) 407-8230.

The enumeration date for this NPI number is 7/13/2011 and was last updated on 7/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIR002925GEORGIANo
2363LF0000XNurse PractitionerFamilyRN198365GEORGIANo
3207Q00000XFamily Medicine53982GEORGIAYes

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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