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Extraordinary Family Healthcare
Primary Care Clinic/Center in Snellville, Georgia
NPI 1174945588

Extraordinary Family Healthcare is a Primary Care Clinic/Center based in Snellville, GA and is specialized in Primary Care. Extraordinary Family Healthcare practices in Snellville, GA. The NPI Number for Extraordinary Family Healthcare is 1174945588 and holds a License No. RN197433 (Georgia).

The current practice location address for Extraordinary Family Healthcare is 2330 Scenic Hwy S Ste 707, Snellville, GA and can be reached out via phone at 678-542-7488 and via fax at 404-481-2688.

Location: 2330 Scenic Hwy S Ste 707, Snellville, GA, 30078-3115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174945588
Provider Name
Extraordinary Family Healthcare
Credential
Provider Entity Type
Organization
Address
2330 Scenic Hwy S Ste 707, Snellville, GA, 30078-3115
Phone Number
678-542-7488
Fax Number
404-481-2688
Provider Enumeration Date
01/21/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003252412 01 GA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
2330 Scenic Hwy S Ste 707
City
Snellville
State
Georgia
Zip
30078-3115
Phone Number
678-542-7488
Fax Number
404-481-2688
person
Provider Business Mailing Address Details
Address
2330 Scenic Hwy S Ste 707
City
Snellville
State
Georgia
Zip
30078-3115
Phone Number
678-542-7488
Fax Number
404-481-2688
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
RN197433 (Georgia)
Definition
Definition to come...
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