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RMX BAXLEY LLC NPI 1780347070


NPI Information

NPI: 1780347070
Provider Name: RMX BAXLEY LLC

Doing Business As: RESTOR METABOLIX OF APPLING

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 11D2246848

Address:
73 SW PARK AVE STE C
BAXLEY, GA
ZIP 31513
Phone: (912) 705-4574
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RMX BAXLEY LLC is a clinic center in Baxley, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RMX BAXLEY LLC NPI is 1780347070. The provider is registered as an organization entity type.
The provider Is Doing Business As Restor Metabolix Of Appling.

The provider's business location address is:

73 SW PARK AVE STE C
BAXLEY, GA
ZIP 31513-485
Phone: (912) 705-4574
Fax: (912) 310-2383

The provider's authorized official is Randall Crawford .
The authorized official title is Owner and has the following contact phone number (912) 339-2342.

The CLIA number assigned to this NPI record is 11D2246848 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 3/27/2023.


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
1261Q00000XClinic/CenterYes

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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