NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS NPI 1689835571

NPI Information

NPI: 1689835571
Provider Name: NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
556 HALL RD
THOMASVILLE, GA
ZIP 31757
Phone: (229) 228-9050
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NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS is a family nurse practitioner in Thomasville, GA. NEW GENESIS CENTER FOR INTENTIONAL HEALTH & AESTHETICS NPI is 1689835571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

556 HALL RD
THOMASVILLE, GA
ZIP 31757-105
Phone: (229) 228-9050
Fax: (229) 228-9056

The provider's authorized official is Patrice Bullock .
The authorized official title is Co-owner and has the following contact phone number (229) 228-9050.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/23/2008.

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	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: 5/5/2024

NPI Synchronization or Removal

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