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EAST METRO PRIMARY CARE NPI 1396188876


NPI Information

NPI: 1396188876
Provider Name: EAST METRO PRIMARY CARE

Doing Business As: EAST ATLANTA PEDIATRICS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
325 LESTER RD NW
SUITE C
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 935-1515
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EAST METRO PRIMARY CARE is a specialist in Lawrenceville, 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. EAST METRO PRIMARY CARE NPI is 1396188876. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As East Atlanta Pediatrics.

The provider's business location address is:

325 LESTER RD NW
SUITE C
LAWRENCEVILLE, GA
ZIP 30044-024
Phone: (770) 935-1515
Fax: (770) 935-1040

The provider's authorized official is Afroz Rahman .
The authorized official title is Provider and has the following contact phone number (770) 935-1515.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/15/2013.


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
1174400000XSpecialist017940GEORGIAYes

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
1D40920MEDICARE UPINGEORGIA
2317911MEDICAIDGEORGIA
310039791MEDICAIDGEORGIA
4317912MEDICAIDGEORGIA

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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