ELEVEN 11 MEDICAL MANAGEMENT LLC NPI 1356616338

NPI Information

  • NPI: 1356616338
  • Provider Name: ELEVEN 11 MEDICAL MANAGEMENT, LLC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Address: 438 HENRY FORD II AVE
    HAPEVILLE, GA
    ZIP 30354
  • Phone: (678) 235-2401

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NPI Details

ELEVEN 11 MEDICAL MANAGEMENT, LLC is an allergy allergy immunology in Hapeville, GA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ELEVEN 11 MEDICAL MANAGEMENT, LLC NPI is 1356616338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

438 HENRY FORD II AVE
HAPEVILLE, GA
ZIP 30354-622
Phone: (678) 235-2401
Fax: (678) 235-2403

The provider's authorized official is Cynthia Tate .
The authorized official title is Administrator and has the following contact phone number (678) 235-2401.

The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.

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
1207KA0200XAllergy & ImmunologyAllergyYes

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: 3/30/2025

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