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General NPI Number Information
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NPI Number | 1922715127
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Entity Type | Organization
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Legal Business Name | FIVE POINTS HEALTHCARE OF GA, LLC
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD STE 304
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City | POOLER
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State | GA
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Zip | 31322-4068
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Country | US
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Telephone | 912-598-2793
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Fax |
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Provider Business Mailing Address
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Address Line | 400 INTERSTATE NORTH PKWY SE STE 1600
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City | ATLANTA
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State | GA
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Zip | 30339-5047
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Country | US
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Telephone | 470-464-8000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MATTHEW BUCKHALTER
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Credential |
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Telephone | 470-464-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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