National Provider Identifier Database

WATERWORKSNOW INCORPORATED
Health Service


Contact Information

WATERWORKSNOW, INCORPORATED
1525 E PARK PLACE BLVD
SUITE 1800
STONE MOUNTAIN, GA30087-3453
Phone: 678-558-6767
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Medical Specialty 261QM2500X
Physical Therapy 261QP2000X
Research 261QR1100X

* Indicates primary specialty

NPI Profile & details for WATERWORKSNOW, INCORPORATED

NPI Number 1972036978
Legal business name
LBN
WATERWORKSNOW, INCORPORATED
Authorized official CYNTHIA GOODMAN - (CEO/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/06/2017
Last updated 04/06/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 48419

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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