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NPI Code Detail

MEDICARE: NOU YOU, LLC

MEDICARE: NOU YOU, LLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1811729346
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOU YOU, LLC
Provider Business Mailing Address
First Line : 4178 SNAPFINGER WOODS DR
Second Line :
City : DECATUR
State : GA
Zip : 30035-3411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4178 SNAPFINGER WOODS DR
Second Line :
City : DECATUR
State : GA
Zip : 30035-3411
Country : US
Telephone Number : 708-218-3296
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. TINA CHAMPION
Credential : DDS
Telephone Number : 708-218-3296
Provider Enumeration Date : 08/14/2024
Last Update Date : 08/14/2024

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Directions to “NOU YOU, LLC ” Practice Location

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