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PERSONAL TOUCH MEDICAL CENTER PC NPI 1275604308


NPI Information

NPI: 1275604308
Provider Name: PERSONAL TOUCH MEDICAL CENTER, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2101655

Address:
65 W CAMPBELLTON ST
FAIRBURN, GA
ZIP 30213
Phone: (770) 892-7802
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PERSONAL TOUCH MEDICAL CENTER, PC is a family medicine in Fairburn, 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. PERSONAL TOUCH MEDICAL CENTER, PC NPI is 1275604308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 W CAMPBELLTON ST
FAIRBURN, GA
ZIP 30213-338
Phone: (770) 892-7802

The provider's authorized official is Latasha Burgess .
The authorized official title is President and has the following contact phone number (770) 892-7802.

The CLIA number assigned to this NPI record is 11D2101655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2006 and was last updated on 9/23/2011.


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 Medicine049877GEORGIAYes

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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