GAINESVILLE PROCEDURE CENTER LLC NPI 1093110447

NPI Information

  • NPI: 1093110447
  • Provider Name: GAINESVILLE PROCEDURE CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 601 BROAD ST SE
    SUITE E
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (678) 989-1515

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NPI Details

GAINESVILLE PROCEDURE CENTER LLC is an ambulatory surgical clinic center in Gainesville, GA. GAINESVILLE PROCEDURE CENTER LLC NPI is 1093110447. The provider is registered as an organization entity type.

The provider's business location address is:

601 BROAD ST SE
SUITE E
GAINESVILLE, GA
ZIP 30501-729
Phone: (678) 989-1515
Fax: (770) 868-5650

The provider's authorized official is Dawnetta Janene Holladay .
The authorized official title is Director/owner and has the following contact phone number (678) 989-1515.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 11/12/2014.

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
1261QA1903XClinic/CenterAmbulatory SurgicalGEORGIAYes

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: 3/30/2025

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