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Contact Information

NSP1RE
5317 PEACHTREE BLVD
GUARDIAN BUSINESS CENTER S306
CHAMBLEE, GA30341
 Phone: 678-671-0078
 Fax: 888-948-2083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for NSP1RE

NPI # 1063103778
LBN Legal business name NSP1RE
Authorized official LATORIA JACKAON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2023
Last updated 05/15/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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