PROHBO - MARIETTA LLC
NPI 1417996844
Clinic/Center - Multi-Specialty in Marietta, GA

NPI Status: Active since June 04, 2006

Contact Information

1455 BELLS FERRY RD
SUITE 100
MARIETTA, GA
ZIP 30066
Phone: (770) 421-8094
Fax: (770) 421-8096

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PROHBO - MARIETTA LLC

This page provides the complete NPI Profile along with additional information for Prohbo - Marietta Llc, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1417996844 assigned on June 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Christopher Grant (Owner)

NPI
1417996844
Provider Name
PROHBO - MARIETTA LLC
Entity Type
Organization
Location Address
1455 BELLS FERRY RD SUITE 100 MARIETTA, GA 30066
Location Phone
(770) 421-8094
Location Fax
(770) 421-8096
Mailing Address
1455 BELLS FERRY RD SUITE 100 MARIETTA, GA 30066
Mailing Phone
(770) 421-8094
Mailing Fax
(770) 421-8096
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHRISTOPHER GRANT

Authorized Official Title
OWNER
Authorized Official Phone
(770) 421-8094

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417996844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271891288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 8 + 9 + 1 + 2 + 8 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1417996844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DR. KEN GORDON KNOTT M.D.

Physical Medicine & Rehabilitation

1455 BELLS FERRY RD
SUITE 100
MARIETTA, GA
ZIP 30066

(770) 421-8094

DR. HARMONY J FRANCIS DMD

Dentist

(General Practice)

1455 BELLS FERRY RD
SUITE 101
MARIETTA, GA
ZIP 30066

(678) 331-1533

MR. JANUSZ MAZON D.C.

Chiropractor

1455 BELLS FERRY RD
SUITE 200
MARIETTA, GA
ZIP 30066

(770) 419-0570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417996844, enumerated as an "organization" on June 04, 2006.

The provider is located at 1455 BELLS FERRY RD SUITE 100 MARIETTA, GA 30066 and the phone number is (770) 421-8094.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.