; NPI #1417666207

Contact Information

ELINITA N WATSON PEOPLES

2180 SATELLITE BLVD STE 400
DULUTH, GA 30097-4927

Phone: 678-236-8530
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for

NPI Number	`1417666207`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	11/21/2022
Last updated	11/21/2022 - About 4 years ago
Identifiers	n/a

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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Private Vehicle

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