PMC MEDICAL & DIAGNOSTICS LLC NPI 1457692956

NPI Information

NPI: 1457692956
Provider Name: PMC MEDICAL & DIAGNOSTICS, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4646 N SHALLOWFORD RD STE 100
ATLANTA, GA
ZIP 30338
Phone: (770) 392-9805
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PMC MEDICAL & DIAGNOSTICS, LLC is a general practice in Atlanta, GA. PMC MEDICAL & DIAGNOSTICS, LLC NPI is 1457692956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4646 N SHALLOWFORD RD STE 100
ATLANTA, GA
ZIP 30338-308
Phone: (770) 392-9805

The provider's authorized official is Mary Leach .
The authorized official title is Team Finance Leader and has the following contact phone number (678) 736-6342.

The enumeration date for this NPI number is 3/7/2013 and was last updated on 3/7/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		038861	GEORGIA	No
2	208D00000X	General Practice		026769	GEORGIA	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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