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PATIENT 1ST HEALTH & WELLNESS ASSOCIATES LLC NPI 1760046593


NPI Information

NPI: 1760046593
Provider Name: PATIENT 1ST HEALTH & WELLNESS ASSOCIATES, LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 11D2180887

Address:
504 GORDON AVE
THOMASVILLE, GA
ZIP 31792
Phone: (229) 236-6601
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PATIENT 1ST HEALTH & WELLNESS ASSOCIATES, LLC is an adult medicine family medicine in Thomasville, GA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PATIENT 1ST HEALTH & WELLNESS ASSOCIATES, LLC NPI is 1760046593. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 GORDON AVE
THOMASVILLE, GA
ZIP 31792-646
Phone: (229) 236-6601

The provider's authorized official is Kimberly E Pickens .
The authorized official title is Owner and has the following contact phone number (816) 482-6004.

The CLIA number assigned to this NPI record is 11D2180887 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2019 and was last updated on 9/7/2020.


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
1207QA0505XFamily MedicineAdult 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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