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VIBRANT FAMILY MEDICINE P.C. NPI 1598319287


NPI Information

NPI: 1598319287
Provider Name: VIBRANT FAMILY MEDICINE, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2176305

Address:
6667 VERNON WOODS DR STE A19
ATLANTA, GA
ZIP 30328
Phone: (404) 396-1640
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VIBRANT FAMILY MEDICINE, P.C. is a family medicine in Atlanta, 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. VIBRANT FAMILY MEDICINE, P.C. NPI is 1598319287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6667 VERNON WOODS DR STE A19
ATLANTA, GA
ZIP 30328-215
Phone: (404) 396-1640

The provider's authorized official is Bradford Gould .
The authorized official title is Doctor/president and has the following contact phone number (404) 396-1640.

The CLIA number assigned to this NPI record is 11D2176305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.


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
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: 4/28/2024

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