Immune Recovery Foundation Llc in Atlanta - Exclusive Provider Organization
Immune Recovery Foundation Llc - NPI 1831128578
Immune Recovery Foundation Llc is a Exclusive Provider Organization in Atlanta, Georgia. Immune Recovery Foundation Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Immune Recovery Foundation Llc is 1831128578. The last update date is 2020-08-22.
Immune Recovery Foundation Llc's current location address is 4646 N Shallowford Rd, Atlanta, Georgia. You can contact this provider via phone number 7704556100 and fax number 7274551999. The mailing address for Immune Recovery Foundation Llc is 4646 N Shallowford Rd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immune Recovery Foundation Llc |
|---|---|
| Address | 4646 N Shallowford Rd, Atlanta, Georgia |
| Phone Number | 7704556100 |
| Fax Number | 7274551999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bradford S. Edward |
| Credentials | P.A. |
| Telephone Number | 7704556100 |
NPI Number Detail
| NPI Number | 1831128578 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4646 N Shallowford Rd |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303386304 |
| Phone Number | 7704556100 |
| Fax Number | 7274551999 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Post Comment/ Review Below
What is the unique identification code assigned to Immune Recovery Foundation Llc by the Centers for Medicare & Medicaid Services?
The Immune Recovery Foundation Llc has been issued the NPI (National Provider Identifier) 1831128578. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Immune Recovery Foundation Llc's physical address?
The Immune Recovery Foundation Llc is physically located at 4646 N Shallowford Rd, in the city of Atlanta, GA, with the postal code 303386304.
What is Immune Recovery Foundation Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Immune Recovery Foundation Llc is Exclusive Provider Organization, and the corresponding taxonomy classification code for this specialized field is 302F00000X.
When did Immune Recovery Foundation Llc receive its 1831128578 assignment?
The Immune Recovery Foundation Llc was assigned its 1831128578 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Immune Recovery Foundation Llc most recently updated or revised?
The information pertaining to Immune Recovery Foundation Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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