DVINE SYSTEMS GA LLC NPI 1396065793

NPI Information

NPI: 1396065793
Provider Name: DVINE SYSTEMS GA LLC

Other Name: DVINE SYSTEMS GA LLC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
255 RACETRACK RD
26
MCDONOUGH, GA
ZIP 30252
Phone: (678) 212-5146
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DVINE SYSTEMS GA LLC is a professional counselor in Mcdonough, GA. DVINE SYSTEMS GA LLC NPI is 1396065793. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dvine Systems Ga Llc.

The provider's business location address is:

255 RACETRACK RD
26
MCDONOUGH, GA
ZIP 30252-834
Phone: (678) 212-5146
Fax: (678) 831-3554

The provider's authorized official is Glendora Dvine .
The authorized official title is C.e.o. and has the following contact phone number (678) 212-5146.

The enumeration date for this NPI number is 6/8/2010 and was last updated on 11/11/2014.

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	101YP2500X	Counselor	Professional	LPC006210	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: 4/28/2024

NPI Synchronization or Removal

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