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VILLAGE AT HOME OF GEORGIA PLLC LLC NPI 1306304852


NPI Information

NPI: 1306304852
Provider Name: VILLAGE AT HOME OF GEORGIA PLLC LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3445 PEACHTREE RD NE STE 1200
ATLANTA, GA
ZIP 30326
Phone: (678) 508-6832
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VILLAGE AT HOME OF GEORGIA PLLC LLC is a family medicine in Atlanta, 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. VILLAGE AT HOME OF GEORGIA PLLC LLC NPI is 1306304852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3445 PEACHTREE RD NE STE 1200
ATLANTA, GA
ZIP 30326-251
Phone: (678) 508-6832
Fax: (470) 387-1639

The provider's authorized official is Wendy Rubas .
The authorized official title is General Counsel and has the following contact phone number (312) 465-7898.

The enumeration date for this NPI number is 3/4/2019 and was last updated on 9/23/2020.


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
1363L00000XNurse PractitionerNo
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4207Q00000XFamily 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: 4/28/2024

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