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Contact Information

MEADOWS CLINIC AT LAWRENCEVILLE LLC
1430 FIVE FORKS TRICKUM RD
STE 210
LAWRENCEVILLE, GA30044-8183
 Phone: 678-377-1738
 Fax: 678-377-1737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MEADOWS CLINIC AT LAWRENCEVILLE LLC

NPI # 1629289715
LBN Legal business name MEADOWS CLINIC AT LAWRENCEVILLE LLC
Authorized official MANISHA KAPASI - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/24/2007
Last updated 06/17/2024 - More than a year ago
Identifiers
GA License # PT004486
GA License # PT005934
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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