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1265647812 NPI number — WELLSTAR PAULDING MEDICAL CENTER, INC.

NPI Number: 1265647812
Health Care Provider/Practitioner: WELLSTAR PAULDING MEDICAL CENTER, INC.

Information about “1265647812” NPI (WELLSTAR PAULDING MEDICAL CENTER, INC.) exists in 1265647812 in HTML format HTML  |  1265647812 in plain Text format TXT  |  1265647812 in PDF (Portable Document Format) PDF  |  1265647812 in an XML format XML  formats.

NPI Number : 1265647812 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265647812",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLSTAR PAULDING MEDICAL CENTER, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2518 JIMMY LEE SMITH PARKWAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIRAM",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30141",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-644-7010",
    "MailingAddressFaxNumber": "470-644-7394",
    "FirstLinePracticeLocationAddress": "2518 JIMMY LEE SMITH PARKWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIRAM",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30141",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-644-7020",
    "PracticeLocationAddressFaxNumber": "470-644-7394",
    "EnumerationDate": "05/14/2007",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOSHI",
    "AuthorizedOfficialFirstName": "SNEHAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP PHARMACY SERVICES",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "470-644-0322",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "282N00000X",
          "TaxonomyName": "General Acute Care Hospital",
          "LicenseNumber": "PHH007939",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": "PHRE002649",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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