NORTHSIDE FAMILY MEDICINE LLC NPI 1700914223

NPI Information

NPI: 1700914223
Provider Name: NORTHSIDE FAMILY MEDICINE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1081786

Address:
580 ATLANTA RD
SUITE 230-A
CUMMING, GA
ZIP 30040
Phone: (770) 781-9824
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NORTHSIDE FAMILY MEDICINE, LLC is a primary care clinic center in Cumming, GA. NORTHSIDE FAMILY MEDICINE, LLC NPI is 1700914223. The provider is registered as an organization entity type.

The provider's business location address is:

580 ATLANTA RD
SUITE 230-A
CUMMING, GA
ZIP 30040-744
Phone: (770) 781-9824
Fax: (770) 781-9833

The provider's authorized official is Haroon Rashid .
The authorized official title is President and has the following contact phone number (770) 781-9824.

The CLIA number assigned to this NPI record is 11D1081786 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 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
1	261QP2300X	Clinic/Center	Primary Care	049201	GEORGIA	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

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