MEDICARE: UNIHEALTH SOLUTIONS OF NORTH GEORGIA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578719811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIHEALTH SOLUTIONS OF NORTH GEORGIA, INC.

Provider Business Mailing Address
First Line	:	1626 JEURGENS CT
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30093-2219
Country	:	US
Telephone Number	:	770-279-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 13TH STREET
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2248
Country	:	US
Telephone Number	:	706-322-7713
Fax Number	:

Authorized Official
Title or Position	:	CHAIRMAN AND CEO
Name	:	MR. NEIL L. PRUITT JR.
Credential	:
Telephone Number	:	770-279-6200

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	03/20/2012

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