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SOUTH FORSYTH WELLNESS LLC NPI 1164177085


NPI Information

NPI: 1164177085
Provider Name: SOUTH FORSYTH WELLNESS LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6110 MCFARLAND STATION DR STE 1103
ALPHARETTA, GA
ZIP 30004
Phone: (770) 203-3998
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SOUTH FORSYTH WELLNESS LLC is a clinic center in Alpharetta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTH FORSYTH WELLNESS LLC NPI is 1164177085. The provider is registered as an organization entity type.

The provider's business location address is:

6110 MCFARLAND STATION DR STE 1103
ALPHARETTA, GA
ZIP 30004-801
Phone: (770) 203-3998

The provider's authorized official is Joseph Difabio .
The authorized official title is Cmo and has the following contact phone number (770) 203-3998.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 2/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM2500XClinic/CenterMedical SpecialtyNo
6261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.