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ATLANTA FUNCTIONAL & INTEGRATIVE MEDICINE NPI 1962938043


NPI Information

NPI: 1962938043
Provider Name: ATLANTA FUNCTIONAL & INTEGRATIVE MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2154587

Address:
2786 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (678) 561-5026
Get Directions

ATLANTA FUNCTIONAL & INTEGRATIVE MEDICINE is a family medicine in Decatur, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ATLANTA FUNCTIONAL & INTEGRATIVE MEDICINE NPI is 1962938043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2786 N DECATUR RD
DECATUR, GA
ZIP 30033-928
Phone: (678) 561-5026

The provider's authorized official is Bindiya Gandhi .
The authorized official title is Owner and has the following contact phone number (678) 561-5026.

The CLIA number assigned to this NPI record is 11D2154587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2017 and was last updated on 5/10/2017.


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
1207Q00000XFamily 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: 4/28/2024

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