PRINCETON LAKES INTERNAL MEDICINE - NPI 1649454265

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Princeton Lakes Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCETON LAKES INTERNAL MEDICINE (NPI 1649454265) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since December 2007. The organization lists Brenda White, Medical Biller, as its authorized official.

NPPES Registry Identity

NPI1649454265

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePRINCETON LAKES INTERNAL MEDICINE

Location Address3885 PRINCETON LAKES WAY SWAtlanta, GA 30331-5589

Mailing Address3885 Princeton Lakes Way SwAtlanta, GA 30331-5589 · (404) 344-0059 · Fax (404) 344-9195

Phone(404) 344-0059

Fax(404) 344-9195

Organization SubpartNo

Authorized OfficialBrenda WhiteMedical Biller · (678) 637-9155

Enumeration DateDecember 18, 2007

✔ NPI 1649454265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in GA · 1689894883✔ Licensed in GA · 1538167119

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331

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Other Identifiers 2

Medicare UPINH45156GA

Medicare UPINH77843GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP