STAR FAMILY HEALTHCARE AND WELLNESS CENTER NPI 1346590221

NPI Information

NPI: 1346590221
Provider Name: STAR FAMILY HEALTHCARE AND WELLNESS CENTER
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2052152

Address:
5337 OLD NATIONAL HWY
SUITE 100
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 767-7777
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STAR FAMILY HEALTHCARE AND WELLNESS CENTER is a primary care nurse practitioner in College Park, GA. STAR FAMILY HEALTHCARE AND WELLNESS CENTER NPI is 1346590221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5337 OLD NATIONAL HWY
SUITE 100
COLLEGE PARK, GA
ZIP 30349-208
Phone: (404) 767-7777
Fax: (404) 767-7770

The provider's authorized official is Helen Uzokwe .
The authorized official title is Director and has the following contact phone number (770) 510-3766.

The CLIA number assigned to this NPI record is 11D2052152 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2012 and was last updated on 9/18/2012.

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	363LP2300X	Nurse Practitioner	Primary Care	RN145805	GEORGIA	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: 5/5/2024

NPI Synchronization or Removal

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