NORTH FULTON INTERNAL MEDICINE GROUP NPI 1396708087

NPI Information

  • NPI: 1396708087
  • Provider Name: NORTH FULTON INTERNAL MEDICINE GROUP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 11D0688425
  • Address: 2500 HOSPITAL BLVD
    SUITE 250
    ROSWELL, GA
    ZIP 30076
  • Phone: (770) 442-1111

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NPI Details

NORTH FULTON INTERNAL MEDICINE GROUP is a primary care clinic center in Roswell, GA. NORTH FULTON INTERNAL MEDICINE GROUP NPI is 1396708087. The provider is registered as an organization entity type.

The provider's business location address is:

2500 HOSPITAL BLVD
SUITE 250
ROSWELL, GA
ZIP 30076-907
Phone: (770) 442-1111
Fax: (770) 740-2990

The provider's authorized official is Charity Q Boulton .
The authorized official title is Practice Administrator and has the following contact phone number (770) 442-1111.

The CLIA number assigned to this NPI record is 11D0688425 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/11/2006 and was last updated on 8/22/2020.

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
1261QP2300XClinic/CenterPrimary CareYes

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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