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ATLANTA LIFESTYLE MEDICAL CENTER NPI 1609194620


NPI Information

NPI: 1609194620
Provider Name: ATLANTA LIFESTYLE MEDICAL CENTER

Doing Business As: ATLANTA LIFESTYLE MEDICINE

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
131 PONCE DE LEON AVE NE
SUITE 230
ATLANTA, GA
ZIP 30308
Phone: (404) 769-3928
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ATLANTA LIFESTYLE MEDICAL CENTER is a public health and general preventive medicine preventive medicine in Atlanta, GA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. ATLANTA LIFESTYLE MEDICAL CENTER NPI is 1609194620. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlanta Lifestyle Medicine.

The provider's business location address is:

131 PONCE DE LEON AVE NE
SUITE 230
ATLANTA, GA
ZIP 30308-962
Phone: (404) 769-3928

The provider's authorized official is Jennifer Rooke .
The authorized official title is Medical Director and has the following contact phone number (404) 769-3928.

The enumeration date for this NPI number is 5/14/2010 and was last updated on 5/14/2010.


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
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine033801GEORGIAYes

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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