Individual provider · Type 1 NPI

Adam M. Altenbern

Student in an Organized Health Care Education/Training Program · Lawrenceville, GA

NPI number 1053259713 Active

Practice location

665 Duluth Hwy
Lawrenceville, GA 30046-3328

Call (678) 312-0450 Map

Mailing address

PO Box 1190
Lawrenceville, GA 30046-1190

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053259713

Adam M. Altenbern's National Provider Identifier is 1053259713, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 24, 2026.