1184753543 NPI number — PERSON TO PERSON CONSULTING, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184753543 NPI number — PERSON TO PERSON CONSULTING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERSON TO PERSON CONSULTING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184753543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 ATLANTA ST STE 2B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCDONOUGH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30253-2162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-898-1155
Provider Business Mailing Address Fax Number:
770-898-8335

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 ATLANTA ST STE 2B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCDONOUGH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30253-2162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-898-1155
Provider Business Practice Location Address Fax Number:
770-898-8335
Provider Enumeration Date:
03/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WARNER
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
CAMARATA
Authorized Official Title or Position:
CLINICAL DIRECTOR/EXECUTIVE DIRECTO
Authorized Official Telephone Number:
770-898-1155

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X , with the licence number: 075-491-D , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com