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BERKELEY MEDICAL AND REHAB CENTER NPI 1992980338


NPI Information

NPI: 1992980338
Provider Name: BERKELEY MEDICAL AND REHAB CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4711 PEACHTREE INDUSTRIAL BLVD STE B
NORCROSS, GA
ZIP 30092
Phone: (770) 416-8180
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BERKELEY MEDICAL AND REHAB CENTER is a family medicine in Norcross, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BERKELEY MEDICAL AND REHAB CENTER NPI is 1992980338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4711 PEACHTREE INDUSTRIAL BLVD STE B
NORCROSS, GA
ZIP 30092-023
Phone: (770) 416-8180
Fax: (770) 416-8181

The provider's authorized official is Ali Hakami .
The authorized official title is Owner and has the following contact phone number (770) 416-8180.

The enumeration date for this NPI number is 1/4/2008 and was last updated on 4/20/2008.


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
1207Q00000XFamily MedicineYes

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
1=========OTHERGEORGIATAX ID

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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