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INTEGRATED HEALTHCARE CENTER OF WOODSTOCK LLC NPI 1134679541


NPI Information

NPI: 1134679541
Provider Name: INTEGRATED HEALTHCARE CENTER OF WOODSTOCK LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2360 TOWNE LAKE PKWY
WOODSTOCK, GA
ZIP 30189
Phone: (770) 516-7477
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INTEGRATED HEALTHCARE CENTER OF WOODSTOCK LLC is a specialist in Woodstock, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTEGRATED HEALTHCARE CENTER OF WOODSTOCK LLC NPI is 1134679541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2360 TOWNE LAKE PKWY
WOODSTOCK, GA
ZIP 30189-576
Phone: (770) 516-7477

The provider's authorized official is Monica Shelton .
The authorized official title is Operations Manager and has the following contact phone number (678) 730-6240.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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
1174400000XSpecialistYes

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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