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MOUNTAINTOP HEALTHCARE CO NPI 1780120188


NPI Information

NPI: 1780120188
Provider Name: MOUNTAINTOP HEALTHCARE CO

Doing Business As: MINOR MEDICAL HEATHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2122190

Address:
1976 MAIN ST E STE C
SNELLVILLE, GA
ZIP 30078
Phone: (470) 395-3618
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MOUNTAINTOP HEALTHCARE CO is a primary care clinic center in Snellville, GA. MOUNTAINTOP HEALTHCARE CO NPI is 1780120188. The provider is registered as an organization entity type.
The provider Is Doing Business As Minor Medical Heathcare.

The provider's business location address is:

1976 MAIN ST E STE C
SNELLVILLE, GA
ZIP 30078-460
Phone: (470) 395-3618
Fax: (770) 979-5155

The provider's authorized official is Belinda Millington .
The authorized official title is Ceo and has the following contact phone number (470) 395-3618.

The CLIA number assigned to this NPI record is 11D2122190 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 6/26/2023.


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
1261QH0100XClinic/CenterHealth ServiceNo
2261QP2300XClinic/CenterPrimary Care66224GEORGIAYes

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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