GA DIAGNOSTIC PROVIDERS NPI 1538768296

NPI Information

NPI: 1538768296
Provider Name: GA DIAGNOSTIC PROVIDERS
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
5400 RIVERSIDE DR STE 202
MACON, GA
ZIP 31210
Phone: (478) 787-0059
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GA DIAGNOSTIC PROVIDERS is a sleep disorder diagnostic clinic center in Macon, GA. GA DIAGNOSTIC PROVIDERS NPI is 1538768296. The provider is registered as an organization entity type.

The provider's business location address is:

5400 RIVERSIDE DR STE 202
MACON, GA
ZIP 31210-818
Phone: (478) 787-0059
Fax: (855) 428-4597

The provider's authorized official is Mark Shane Mobley .
The authorized official title is President and has the following contact phone number (478) 972-8865.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.

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	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	No
2	293D00000X	Physiological Laboratory		No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	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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