1477375996 NPI number — MISS JANET RITA JAMES

Table of content: MISS JANET RITA JAMES (NPI 1477375996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477375996 NPI number — MISS JANET RITA JAMES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JAMES
Provider First Name:
JANET
Provider Middle Name:
RITA
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JAMES- KASINATHAN, AUGUSTINE
Provider Other First Name:
JANET
Provider Other Middle Name:
RITA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477375996
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4108 LAKEFIELD PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOHNS CREEK
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30097-2396
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-882-8832
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4108 LAKEFIELD PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNS CREEK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097-2396
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-310-4660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/28/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WL0100X , with the licence number:  L-315624 , 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)





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