HOLISTICARE SOUTH LLC NPI 1538364286

NPI Information

  • NPI: 1538364286
  • Provider Name: HOLISTICARE SOUTH LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 4370 GEORGETOWN SQUARE
    ATLANTA, GA
    ZIP 30338
  • Phone: (770) 457-4677

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NPI Details

HOLISTICARE SOUTH LLC is a multi-specialty clinic center in Atlanta, GA. HOLISTICARE SOUTH LLC NPI is 1538364286. The provider is registered as an organization entity type.

The provider's business location address is:

4370 GEORGETOWN SQUARE
ATLANTA, GA
ZIP 30338
Phone: (770) 457-4677
Fax: (678) 514-2104

The provider's authorized official is Peggy A Mosier .
The authorized official title is Director Cbo and has the following contact phone number (770) 457-4677.

The enumeration date for this NPI number is 6/20/2007 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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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