WOODSTOCK FAMILY PRACTICE AND URGENT CARE NPI 1972915395

NPI Information

NPI: 1972915395
Provider Name: WOODSTOCK FAMILY PRACTICE AND URGENT CARE
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
310 GOLD CREEK TRL
WOODSTOCK, GA
ZIP 30188
Phone: (770) 771-5600
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WOODSTOCK FAMILY PRACTICE AND URGENT CARE is a medical physician assistant in Woodstock, GA. WOODSTOCK FAMILY PRACTICE AND URGENT CARE NPI is 1972915395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 GOLD CREEK TRL
WOODSTOCK, GA
ZIP 30188-435
Phone: (770) 771-5600

The provider's authorized official is Lorena Adriana Castillo .
The authorized official title is Physician Assistant and has the following contact phone number (770) 771-5600.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/21/2014.

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	363AM0700X	Physician Assistant	Medical	7131	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: 5/5/2024

NPI Synchronization or Removal

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