Organization Name: | JENCARE NEIGHBORHOOD MEDICAL CENTER DRUID HILLS, LLC |
NPI Number: | 1225473564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER CHEN (OWNER) |
Mailing Address: | 3371 Buford Hwy Ne Atlanta |
State: | GA US |
Postal Code: | 303291709 |
Phone Number: | 3056286117 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 069385 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |