ALPHARETTA MEDICAL GROUP LLC NPI 1497224380

NPI Information

NPI: 1497224380
Provider Name: ALPHARETTA MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 11D2196392

Address:
11807 NORTHFALL LN STE 901
ALPHARETTA, GA
ZIP 30009
Phone: (678) 240-0049
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ALPHARETTA MEDICAL GROUP, LLC is a health service clinic center in Alpharetta, GA. ALPHARETTA MEDICAL GROUP, LLC NPI is 1497224380. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11807 NORTHFALL LN STE 901
ALPHARETTA, GA
ZIP 30009-972
Phone: (678) 240-0049

The provider's authorized official is Eric Somers .
The authorized official title is Owner and has the following contact phone number (404) 542-4488.

The CLIA number assigned to this NPI record is 11D2196392 - other - fire department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2018 and was last updated on 11/20/2018.

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	111N00000X	Chiropractor				No
2	261QH0100X	Clinic/Center	Health Service			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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