National Provider Identifier Database

FUNCTION HEALTH PROFESSIONALS LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

FUNCTION & HEALTH PROFESSIONALS LLC
685 ARLINGTON PL
MACON, GA31201-1772
Phone: 478-292-2060
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for FUNCTION & HEALTH PROFESSIONALS LLC

NPI Number 1376917591
Legal business name
LBN
FUNCTION & HEALTH PROFESSIONALS LLC
Authorized official TIQUELLA KING-WHITBY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/27/2015
Last updated 11/27/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 58891

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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