NPI Code Detail JSON Logo

1528478807 NPI number — WITHINME MD, COLLEGE PARK

NPI Number: 1528478807
Health Care Provider/Practitioner: WITHINME MD, COLLEGE PARK

Information about “1528478807” NPI (WITHINME MD, COLLEGE PARK) exists in 1528478807 in HTML format HTML  |  1528478807 in plain Text format TXT  |  1528478807 in PDF (Portable Document Format) PDF  |  1528478807 in an XML format XML  formats.

NPI Number : 1528478807 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528478807",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WITHINME MD, COLLEGE PARK",
    "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": "5100 OLD BILL COOK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLLEGE PARK",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30349-3142",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-464-8169",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5100 OLD BILL COOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLLEGE PARK",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30349-3142",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-464-8169",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2014",
    "LastUpdateDate": "05/07/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JAMES",
    "AuthorizedOfficialFirstName": "VICKI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "470-225-1345",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": "031032",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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