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MUSE MEDICAL CLINIC NPI 1851604862


NPI Information

NPI: 1851604862
Provider Name: MUSE MEDICAL CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D2011861

Address:
3300 MEMORIAL DR
SUITE C-1
DECATUR, GA
ZIP 30032
Phone: (678) 732-9087
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MUSE MEDICAL CLINIC is a general practice in Decatur, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MUSE MEDICAL CLINIC NPI is 1851604862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 MEMORIAL DR
SUITE C-1
DECATUR, GA
ZIP 30032-700
Phone: (678) 732-9087
Fax: (678) 732-9088

The provider's authorized official is Jessie M Al-amin .
The authorized official title is Director and has the following contact phone number (404) 345-8883.

The CLIA number assigned to this NPI record is 11D2011861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 12/16/2013.


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
1208D00000XGeneral Practice039995GEORGIAYes

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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