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HEALOGICS SPECIALTY PHYSICIANS OF GEORGIA LLC NPI 1336790468


NPI Information

NPI: 1336790468
Provider Name: HEALOGICS SPECIALTY PHYSICIANS OF GEORGIA, LLC

Doing Business As: MIDDLE GEORGIA WOUND CARE BY HEALOGICS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2575 PEACHTREE PKWY STE 250
CUMMING, GA
ZIP 30041
Phone: (478) 405-7996
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HEALOGICS SPECIALTY PHYSICIANS OF GEORGIA, LLC is a multi-specialty clinic center in Cumming, GA. HEALOGICS SPECIALTY PHYSICIANS OF GEORGIA, LLC NPI is 1336790468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Middle Georgia Wound Care By Healogics.

The provider's business location address is:

2575 PEACHTREE PKWY STE 250
CUMMING, GA
ZIP 30041-563
Phone: (478) 405-7996
Fax: (478) 405-7998

The provider's authorized official is Frank Williams .
The authorized official title is Ceo and has the following contact phone number (904) 446-3519.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 6/1/2023.


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
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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.