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1225978430 NPI number — RETINA INSTITUTE OF NORTH GEORGIA LLC

NPI Number: 1225978430
Health Care Provider/Practitioner: RETINA INSTITUTE OF NORTH GEORGIA LLC

Information about “1225978430” NPI (RETINA INSTITUTE OF NORTH GEORGIA LLC) exists in 1225978430 in HTML format HTML  |  1225978430 in plain Text format TXT  |  1225978430 in PDF (Portable Document Format) PDF  |  1225978430 in an XML format XML  formats.

NPI Number : 1225978430 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225978430",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RETINA INSTITUTE OF NORTH GEORGIA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "978 DENMEADE WALK SW # GA30064",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30064-2975",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-777-6696",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4757 NELSON BROGDON BLVD BUILDING 400",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "SUGAR HILL",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-777-6696",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/30/2026",
    "LastUpdateDate": "03/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SIOUFI",
    "AuthorizedOfficialFirstName": "KAREEM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER, PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "724-777-6696",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207WX0107X",
        "TaxonomyName": "Retina Specialist (Ophthalmology) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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