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PRESTIGE HEALTHCARE ATLANTA LLC NPI 1316210156


NPI Information

NPI: 1316210156
Provider Name: PRESTIGE HEALTHCARE ATLANTA, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D2047231

Address:
3886 PRINCETON LAKES WAY SW
SUITE 280
ATLANTA, GA
ZIP 30331
Phone: (404) 346-7100
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PRESTIGE HEALTHCARE ATLANTA, LLC is an obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PRESTIGE HEALTHCARE ATLANTA, LLC NPI is 1316210156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3886 PRINCETON LAKES WAY SW
SUITE 280
ATLANTA, GA
ZIP 30331-511
Phone: (404) 346-7100
Fax: (404) 346-1122

The provider's authorized official is Charis J Trench-simmons .
The authorized official title is Owner and has the following contact phone number (404) 346-7100.

The CLIA number assigned to this NPI record is 11D2047231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


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
1207V00000XObstetrics & Gynecology058337GEORGIAYes

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

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