PURE HEALTH MEDICINE LLC NPI 1548833452

NPI Information

NPI: 1548833452
Provider Name: PURE HEALTH MEDICINE LLC

Doing Business As: PURE HEALTH MEDICINE LLC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
905 SADDLE HL
MARIETTA, GA
ZIP 30068
Phone: (678) 842-8835
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PURE HEALTH MEDICINE LLC is a family nurse practitioner in Marietta, GA. PURE HEALTH MEDICINE LLC NPI is 1548833452. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pure Health Medicine Llc.

The provider's business location address is:

905 SADDLE HL
MARIETTA, GA
ZIP 30068-915
Phone: (678) 842-8835

The provider's authorized official is Paulette Decontee Kpannah .
The authorized official title is Owner and has the following contact phone number (678) 523-3663.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 9/24/2021.

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	207Q00000X	Family Medicine				No
2	363LF0000X	Nurse Practitioner	Family			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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