Healthcare Provider Details

I. General information

NPI: 1902654437
Provider Name (Legal Business Name): AUGGYS WORLD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 MONTICELLO LN
MCDONOUGH GA
30253-8271
US

IV. Provider business mailing address

643 MONTICELLO LN
MCDONOUGH GA
30253-8271
US

V. Phone/Fax

Practice location:
  • Phone: 404-324-8871
  • Fax:
Mailing address:
  • Phone: 404-324-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: BIGGS A KIMBERLY
Title or Position: CEO
Credential:
Phone: 404-324-8871