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Contact Information

BETTIS AFFINITY
3440 BLUE SPRINGS RD NW STE 103
KENNESAW, GA30144-1035
 Phone: 678-956-8930
 Fax: 678-956-8930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
 

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for BETTIS AFFINITY

NPI # 1750907184
LBN Legal business name BETTIS AFFINITY
Authorized official ENID PARKER - (CLINICAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2020
Last updated 06/22/2020 - About 6 years ago
Identifiers
GA Medicaid 1871057224
GA Other 1871057224 NON-MEDICARE
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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