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PRINCETON LAKES INTERNAL MEDICINE NPI 1649454265


NPI Information

NPI: 1649454265
Provider Name: PRINCETON LAKES INTERNAL MEDICINE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331
Phone: (404) 344-0059
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PRINCETON LAKES INTERNAL MEDICINE is a specialist in Atlanta, 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. PRINCETON LAKES INTERNAL MEDICINE NPI is 1649454265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3885 PRINCETON LAKES WAY SW
ATLANTA, GA
ZIP 30331-589
Phone: (404) 344-0059
Fax: (404) 344-9195

The provider's authorized official is Brenda White .
The authorized official title is Medical Biller and has the following contact phone number (678) 637-9155.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


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
1174400000XSpecialist1538167119GEORGIANo
2174400000XSpecialist1689894883GEORGIAYes

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
1H45156MEDICARE UPINGEORGIA
2H77843MEDICARE UPINGEORGIA

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

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.