CLASSIC CITY INTERNAL MEDICINE NPI 1942421920

NPI Information

NPI: 1942421920
Provider Name: CLASSIC CITY INTERNAL MEDICINE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
385 HAWTHORNE LN STE 200
ATHENS, GA
ZIP 30606
Phone: (706) 543-3130
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CLASSIC CITY INTERNAL MEDICINE is a health service clinic center in Athens, GA. CLASSIC CITY INTERNAL MEDICINE NPI is 1942421920. The provider is registered as an organization entity type.

The provider's business location address is:

385 HAWTHORNE LN STE 200
ATHENS, GA
ZIP 30606-100
Phone: (706) 543-3130
Fax: (706) 543-3215

The provider's authorized official is Emad Uddin Ahmed .
The authorized official title is President and has the following contact phone number (706) 543-3130.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 3/27/2008.

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
1	261QH0100X	Clinic/Center	Health Service	045157	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: 4/28/2024

NPI Synchronization or Removal

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