Organization Name: | RYSE HEALTHCARE PARTNERS LLC |
NPI Number: | 1508266537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMEELAH GATER (OWNER) |
Mailing Address: | 105 Harmony Xing Suite 3 Eatonton |
State: | GA US |
Postal Code: | 310249522 |
Phone Number: | 7064840884 |
Fax Number: | 7064840885 |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |