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ELINA HEALTHCARE INC NPI 1467058743


NPI Information

NPI: 1467058743
Provider Name: ELINA HEALTHCARE INC

Doing Business As: GWINNETT URGENT CARE & FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2213664

Address:
4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA
ZIP 30093
Phone: (470) 275-4911
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ELINA HEALTHCARE INC is a family medicine in Norcross, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ELINA HEALTHCARE INC NPI is 1467058743. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gwinnett Urgent Care & Family Practice.

The provider's business location address is:

4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA
ZIP 30093-760
Phone: (470) 275-4911
Fax: (470) 275-4918

The provider's authorized official is Ahmed Elgawabra .
The authorized official title is Ceo and has the following contact phone number (470) 275-4911.

The CLIA number assigned to this NPI record is 11D2213664 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 8/16/2021.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

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