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Contact Information

WATERWORKSNOW, INCORPORATED
1525 E PARK PLACE BLVD
SUITE 1800
STONE MOUNTAIN, GA30087-3453
 Phone: 678-558-6767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Medical Specialty

261QM2500X
 

Physical Therapy

261QP2000X
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for WATERWORKSNOW, INCORPORATED

NPI # 1972036978
LBN Legal business name WATERWORKSNOW, INCORPORATED
Authorized official CYNTHIA GOODMAN - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2017
Last updated 04/06/2017 - About 9 years ago
Identifiers
GA License # 48419
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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