FULL PLATE INDUSTRIES LLC NPI 1093434086

NPI Information

  • NPI: 1093434086
  • Provider Name: FULL PLATE INDUSTRIES, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 320 LANIER AVE W STE 200
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (678) 469-4212

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NPI Details

FULL PLATE INDUSTRIES, LLC is a family medicine in Fayetteville, 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. FULL PLATE INDUSTRIES, LLC NPI is 1093434086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 LANIER AVE W STE 200
FAYETTEVILLE, GA
ZIP 30214-443
Phone: (678) 469-4212

The provider's authorized official is Keisha Nicole Ford-jenrette .
The authorized official title is Principal and has the following contact phone number (678) 469-4212.

The enumeration date for this NPI number is 8/24/2022 and was last updated on 9/6/2022.

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
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: 3/30/2025

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