CONCIERGE SPORTS AND FAMILY HEALTH INC NPI 1891519864

NPI Information

  • NPI: 1891519864
  • Provider Name: CONCIERGE SPORTS AND FAMILY HEALTH INC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 4300 PACES FERRY RD SE STE 500
    ATLANTA, GA
    ZIP 30339
  • Phone: (404) 282-9202

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NPI Details

CONCIERGE SPORTS AND FAMILY HEALTH INC is a health service clinic center in Atlanta, GA. CONCIERGE SPORTS AND FAMILY HEALTH INC NPI is 1891519864. The provider is registered as an organization entity type.

The provider's business location address is:

4300 PACES FERRY RD SE STE 500
ATLANTA, GA
ZIP 30339-714
Phone: (404) 282-9202
Fax: (404) 282-9202

The provider's authorized official is Nadine Mines .
The authorized official title is Founder/ceo and has the following contact phone number (404) 282-9202.

The enumeration date for this NPI number is 11/14/2024 and was last updated on 11/14/2024.

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
1261QH0100XClinic/CenterHealth ServiceYes

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: 3/30/2025

NPI Synchronization or Removal

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