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GEORGETOWN CLINIC NPI 1558630947


NPI Information

NPI: 1558630947
Provider Name: GEORGETOWN CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
236 JOHNSON FERRY RD NE
SUITE 200
ATLANTA, GA
ZIP 30328
Phone: (404) 255-0666
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GEORGETOWN CLINIC is a general practice in Atlanta, GA. GEORGETOWN CLINIC NPI is 1558630947. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

236 JOHNSON FERRY RD NE
SUITE 200
ATLANTA, GA
ZIP 30328-402
Phone: (404) 255-0666
Fax: (404) 705-9942

The provider's authorized official is Ramin Stephan Bayani .
The authorized official title is President and has the following contact phone number (404) 255-0666.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 12/23/2011.


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
1208D00000XGeneral Practice38981GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.