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NORTH GEORGIA RHEUMATOLOGY GROUP PC NPI 1417159344


NPI Information

NPI: 1417159344
Provider Name: NORTH GEORGIA RHEUMATOLOGY GROUP, PC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 11D2102566

Address:
500 MEDICAL CENTER BLVD
SUITE 290
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 822-1090
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NORTH GEORGIA RHEUMATOLOGY GROUP, PC is a rheumatology internal medicine in Lawrenceville, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. NORTH GEORGIA RHEUMATOLOGY GROUP, PC NPI is 1417159344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 MEDICAL CENTER BLVD
SUITE 290
LAWRENCEVILLE, GA
ZIP 30046-708
Phone: (770) 822-1090
Fax: (770) 513-9735

The provider's authorized official is Theresa Lawrence Ford .
The authorized official title is Physician and has the following contact phone number (770) 822-1090.

The CLIA number assigned to this NPI record is 11D2102566 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 5/29/2015.


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
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3852MEDICARE PINGEORGIA

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

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