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SUBURBAN WOMEN'S SPECIALISTS LLC NPI 1215047246


NPI Information

NPI: 1215047246
Provider Name: SUBURBAN WOMEN'S SPECIALISTS, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D1059989

Address:
6300 HOSPITAL PKWY STE 200
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 476-1088
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SUBURBAN WOMEN'S SPECIALISTS, LLC is an obstetrics gynecology in Johns Creek, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SUBURBAN WOMEN'S SPECIALISTS, LLC NPI is 1215047246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6300 HOSPITAL PKWY STE 200
JOHNS CREEK, GA
ZIP 30097-984
Phone: (770) 476-1088
Fax: (770) 476-1082

The provider's authorized official is Suiza C. Chua .
The authorized official title is Physician and has the following contact phone number (770) 476-1088.

The CLIA number assigned to this NPI record is 11D1059989 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/17/2020.


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
1207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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