Providence Healthcare in Atlanta - Clinical & Laboratory Immunology
Providence Healthcare - NPI 1699895961
Providence Healthcare is a Clinical & Laboratory Immunology in Atlanta, Georgia. Providence Healthcare practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Providence Healthcare is 1699895961. The last update date is 2022-07-21.
Providence Healthcare's current location address is 4646 N Shallowford Rd, Atlanta, Georgia. You can contact this provider via phone number 7706766000 and fax number 7703929805. The mailing address for Providence Healthcare is 4646 N Shallowford Rd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Providence Healthcare |
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Address | 4646 N Shallowford Rd, Atlanta, Georgia |
Phone Number | 7706766000 |
Fax Number | 7703929805 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Leach Mary |
Telephone Number | 7706766000 |
NPI Number Detail
NPI Number | 1699895961 |
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Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 4646 N Shallowford Rd |
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City | Atlanta |
State | Georgia (GA) |
Post Code | 303386304 |
Phone Number | 7706766000 |
Fax Number | 7703929805 |
Provider's Primary Taxonomy Detail
Speciality | Clinical & Laboratory Immunology |
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Taxonomy | 207Ki0005X |
Definition: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
50014615 | GA | TAT | |
826713 | GA | BLUECROSS BLUE SHIELD | |
D44849 | GA | UPIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Providence Healthcare by the Centers for Medicare & Medicaid Services?
The Providence Healthcare has been issued the NPI (National Provider Identifier) 1699895961 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Providence Healthcare is physically located?
The Providence Healthcare is situated at the following address: 4646 N Shallowford Rd, Atlanta, GA 303386304.
What is Providence Healthcare's area of expertise and its corresponding taxonomy classification?
The Providence Healthcare's field of specialization is Clinical & Laboratory Immunology, and it falls under the taxonomy code 207Ki0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1699895961 to Providence Healthcare?
The Centers for Medicare & Medicaid Services assigned the 1699895961 to Providence Healthcare on 2007-03-30.
As of what date were the Providence Healthcare's details last updated?
The information pertaining to the Providence Healthcare, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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