NPI 1235547431 LAKE OCONEE URGENT AND SPECIALTY CARE CENTER CONYERS GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lake Oconee Urgent And Specialty Care Center - NPI: 1235547431

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: LAKE OCONEE URGENT AND SPECIALTY CARE CENTER
NPI Number: 1235547431
Entity Type Code: Organizational (2)
Authorized Official Name: EDDIE RICHARDSON
(PHYSICIAN/PRACTICE OWNER)
Mailing Address: 105 Harmony Xing Suite 3
Eatonton
State: GA US
Postal Code: 310249522
Phone Number: 7064840884
Fax Number:
NPI Enumeration Date: 07/31/2014
NPI Last Update Date: 07/31/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 7235
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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