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Reinvent Your Identity,llc
Student Health Clinic/Center in Mcdonough, Georgia
NPI 1235871013

Reinvent Your Identity,llc is a Student Health Clinic/Center based in Mcdonough, GA and is specialized in Student Health. Reinvent Your Identity,llc practices in Mcdonough, GA. The NPI Number for Reinvent Your Identity,llc is 1235871013 and holds a License No. (Georgia).

The current practice location address for Reinvent Your Identity,llc is 4403 Kady Ct, Mcdonough, GA and can be reached out via phone at 404-644-4198.

Location: 4403 Kady Ct, Mcdonough, GA, 30252-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235871013
Provider Name
Reinvent Your Identity,llc
Credential
Provider Entity Type
Organization
Address
4403 Kady Ct, Mcdonough, GA, 30252-3700
Phone Number
404-644-4198
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4403 Kady Ct
City
Mcdonough
State
Georgia
Zip
30252-3700
Phone Number
404-644-4198
Fax Number
person
Provider Business Mailing Address Details
Address
4403 Kady Ct
City
Mcdonough
State
Georgia
Zip
30252-3700
Phone Number
404-644-4198
Fax Number
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
Corporate Health
Taxonomy
261QC1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
()
Definition
Definition to come...
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