Organization · Type 2 NPI
Medical Consultants of Southeast
Clinic/Center · Fayetteville, GA
NPI number
1104084409
Active
Practice location
1415 Highway 85 N, Suite 310-384
Fayetteville, GA 30214-4035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 013102 (GA) |
Clinic/Center: 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).
4 other providers at this address
- Southside Medical & Physical Therapy, LLCInterventional Pain Medicine Physician Fayetteville, GA NPI 1063628675
- Quantiyanna GaskinsSpeech-Language Pathologist Fayetteville, GA NPI 1669786513
- Tashi Powell, APRNPsychiatric/Mental Health Nurse Practitioner Fayetteville, GA NPI 1942151394
- Yolanda DunnClinical Social Worker Fayetteville, GA NPI 1679154371
Other clinic/center providers in Fayetteville
- Red Earth AcupunctureClinic/Center Fayetteville, GA NPI 1124683032
- Massage Therapeutics, Inc Center for WellnessClinic/Center Fayetteville, GA NPI 1376728154
- Correctiona Medical AssociatesClinic/Center Fayetteville, GA NPI 1407017965
- MD 1 CareClinic/Center Fayetteville, GA NPI 1649549775
- Primed Health, Inc.Clinic/Center Fayetteville, GA NPI 1841457405
- Lab Assist Pro, Llc.Clinic/Center Fayetteville, GA NPI 1902587900
- One Stick Medical AcademyClinic/Center Fayetteville, GA NPI 1992320089
About NPI 1104084409
Medical Consultants of Southeast's National Provider Identifier is 1104084409, issued on May 23, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fayetteville, GA. The record was last updated on May 23, 2008.