National Provider Identifier Database

PREVENTCLINIC INC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

PREVENTCLINIC, INC.
6000 LAKE FORREST DR STE 540
SANDY SPRINGS, GA30328
Phone: 470-735-5045
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Prevention Professional 405300000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PREVENTCLINIC, INC.

NPI Number 1306346853
Legal business name
LBN
PREVENTCLINIC, INC.
Authorized official DAVID MONTGOMERY - (OWNER/ PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/20/2018
Last updated 07/18/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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