SCULPTURES BODY SPA NPI 1871061713

NPI Information

NPI: 1871061713
Provider Name: SCULPTURES BODY SPA
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
885 HIGHWAY 138 W
STOCKBRIDGE, GA
ZIP 30281
Phone: (470) 377-2552
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SCULPTURES BODY SPA is an acute care nurse practitioner in Stockbridge, GA. SCULPTURES BODY SPA NPI is 1871061713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

885 HIGHWAY 138 W
STOCKBRIDGE, GA
ZIP 30281-261
Phone: (470) 377-2552

The provider's authorized official is Latasha Jefferson .
The authorized official title is Nurse Practitioner and has the following contact phone number (470) 277-3552.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

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	363LA2100X	Nurse Practitioner	Acute Care			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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