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PARADIGM MEDICAL LLC NPI 1336485457


NPI Information

NPI: 1336485457
Provider Name: PARADIGM MEDICAL LLC

Doing Business As: ADVANCED BREAST CARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
790 CHURCH ST NE
SUITE 410
MARIETTA, GA
ZIP 30060
Phone: (770) 422-1988
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PARADIGM MEDICAL LLC is a specialist in Marietta, 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. PARADIGM MEDICAL LLC NPI is 1336485457. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Breast Care.

The provider's business location address is:

790 CHURCH ST NE
SUITE 410
MARIETTA, GA
ZIP 30060-282
Phone: (770) 422-1988
Fax: (770) 874-0226

The provider's authorized official is William E Burak .
The authorized official title is Director and has the following contact phone number (770) 422-1988.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 12/19/2012.


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
1174400000XSpecialist68527GEORGIAYes

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
1G03299MEDICARE UPINOHIO
2003128512AMEDICAIDGEORGIA

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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