MID PHYSICIAN NETWORK (KY) LLC NPI 1346783388

NPI Information

NPI: 1346783388
Provider Name: MID PHYSICIAN NETWORK (KY), LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5665 NEW NORTHSIDE DR
SUITE 520
ATLANTA, GA
ZIP 30328
Phone: (678) 491-2804
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MID PHYSICIAN NETWORK (KY), LLC is a general practice in Atlanta, GA. MID PHYSICIAN NETWORK (KY), LLC NPI is 1346783388. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5665 NEW NORTHSIDE DR
SUITE 520
ATLANTA, GA
ZIP 30328-831
Phone: (678) 491-2804

The provider's authorized official is Adrian Davis .
The authorized official title is Ceo and has the following contact phone number (678) 491-2804.

The enumeration date for this NPI number is 11/23/2016 and was last updated on 11/23/2016.

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				Yes

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

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