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ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTERLLC NPI 1780853200


NPI Information

NPI: 1780853200
Provider Name: ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC

Doing Business As: ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D1002726

Address:
105 COLLIER RD NW
SUITE 1010
ATLANTA, GA
ZIP 30309
Phone: (404) 355-4885
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ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC 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. ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC NPI is 1780853200. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlanta Minimally Invasive Gynecologic Surgery Center,llc.

The provider's business location address is:

105 COLLIER RD NW
SUITE 1010
ATLANTA, GA
ZIP 30309-710
Phone: (404) 355-4885
Fax: (404) 355-2210

The provider's authorized official is Freedom Mitchell .
The authorized official title is Practice Manager and has the following contact phone number (404) 355-4885.

The CLIA number assigned to this NPI record is 11D1002726 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/28/2008 and was last updated on 3/24/2015.


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
1174400000XSpecialist045895GEORGIAYes

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
1GRP4747MEDICARE PINGEORGIA
2DA6300OTHERGEORGIAMEDICARE RAILROAD

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.