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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE HEALTHCARE

Active Organization

PROVIDENCE HEALTHCARE is a Clinical & Laboratory Immunology organization located in ATLANTA, Georgia. NPI 1699895961 is currently active in the NPPES registry. Verify at CMS.

Clinical & Laboratory Immunology · ATLANTA, GA

Registration Details

NPI Number
1699895961
Provider Type
Organization
NPI Issued
Mar 30, 2007 (19.400487830021 yrs)
Last Updated
Jul 21, 2022
Licenses
CHIR005530 (GA)
000186 (FL)

Practice Information

Address
4646 N SHALLOWFORD RD
ATLANTA, GA, 303386304
Browse GA providers · Browse ZIP 30338
Phone
7706766000
Fax
7703929805
Primary Specialty
Clinical & Laboratory Immunology
207KI0005X
Additional Specialty
Acupuncturist

Other Clinical & Laboratory Immunology Organizations in ATLANTA, GA

Name NPI
NETPHYSICIAN INC 1215132725
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.