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ESTATE CLINICS BY CMG NPI 1043981517


NPI Information

NPI: 1043981517
Provider Name: ESTATE CLINICS BY CMG
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D2267255

Address:
107 UPPER RIVERDALE RD SW
RIVERDALE, GA
ZIP 30274
Phone: (770) 997-2160
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ESTATE CLINICS BY CMG is an internal medicine in Riverdale, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ESTATE CLINICS BY CMG NPI is 1043981517. The provider is registered as an organization entity type.

The provider's business location address is:

107 UPPER RIVERDALE RD SW
RIVERDALE, GA
ZIP 30274-504
Phone: (770) 997-2160

The provider's authorized official is Kaylene Martin .
The authorized official title is Practice Manager and has the following contact phone number (770) 990-8212.

The CLIA number assigned to this NPI record is 11D2267255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2021 and was last updated on 9/24/2021.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR1100XClinic/CenterResearchNo
3261QU0200XClinic/CenterUrgent CareNo
4207R00000XInternal 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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