MY CHRONIC CARE MANAGEMENT NPI 1164045548

NPI Information

NPI: 1164045548
Provider Name: MY CHRONIC CARE MANAGEMENT
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
20 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064
Phone: (770) 635-7166
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MY CHRONIC CARE MANAGEMENT is a pain clinic center in Marietta, GA. MY CHRONIC CARE MANAGEMENT NPI is 1164045548. The provider is registered as an organization entity type.

The provider's business location address is:

20 WHITLOCK PL SW STE 101
MARIETTA, GA
ZIP 30064-176
Phone: (770) 635-7166
Fax: (404) 591-8002

The provider's authorized official is Maurice L Woodard .
The authorized official title is President and has the following contact phone number (404) 309-5200.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 10/20/2020.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QP3300X	Clinic/Center	Pain			Yes

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

NPI Synchronization or Removal

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