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NISAR MEDICAL CENTER INC. NPI 1912165671


NPI Information

NPI: 1912165671
Provider Name: NISAR MEDICAL CENTER, INC.

Doing Business As: NISAR MEDICAL CENTER, INC.

Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 11D1087897

Address:
1407 CHATTANOOGA AVE
SUITE B
DALTON, GA
ZIP 30720
Phone: (706) 279-1757
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NISAR MEDICAL CENTER, INC. is a legal medicine in Dalton, GA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. NISAR MEDICAL CENTER, INC. NPI is 1912165671. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nisar Medical Center, Inc..

The provider's business location address is:

1407 CHATTANOOGA AVE
SUITE B
DALTON, GA
ZIP 30720-631
Phone: (706) 279-1757
Fax: (706) 279-1758

The provider's authorized official is Azhar Nisar .
The authorized official title is Physician and has the following contact phone number (706) 279-1757.

The CLIA number assigned to this NPI record is 11D1087897 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.


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
1173000000XLegal Medicine042375GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000728494CMEDICAIDGEORGIA

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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