DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHEAST GEORGIA MEDICAL CENTER, INC

MEDICARE: NORTHEAST GEORGIA MEDICAL CENTER, 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
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail PharmacyPHRE010289GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22159511OTHERPK

General Provider Information

NPI Number : 1992169197
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST GEORGIA MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : PO BOX 741891
Second Line :
City : ATLANTA
State : GA
Zip : 30374-1891
Country : US
Telephone Number : 770-848-6337
Fax Number : 770-848-6338
Provider Business Practice Location Address
First Line : 1515 RIVER PL STE 180
Second Line :
City : BRASELTON
State : GA
Zip : 30517-5603
Country : US
Telephone Number : 770-848-6337
Fax Number : 770-848-6338
Authorized Official
Title or Position : CFO
Name : BRIAN D STEINES
Credential :
Telephone Number : 770-219-3562
Provider Enumeration Date : 04/13/2016
Last Update Date : 04/22/2020

Similar Medicare Providers

1477551943 — DR. CHRISTINA H RICH MD
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-6140
Practice Fax:
1336168566 — UDAY K TATA M.D.
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-6140
Practice Fax:
1477715605 — DR. STUTI PARIKH M.D.
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-6140
Practice Fax: 770-848-6141
1134548738 — ANAMARIA MCCLAUDE FNP
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-9310
Practice Fax: 770-848-9311
1801206131 — SALONI N PATEL MD
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-9310
Practice Fax:
1922411537 — FAUSTINE LUU DINH D.O.
Practice Location Address:
1515 RIVER PL STE 200
BRASELTON, GA
30517-5603
Practice Phone: 770-848-6140
Practice Fax: 770-848-6141

Directions to “NORTHEAST GEORGIA MEDICAL CENTER, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.