Mobile Mini Clinic

LBN: Mobile Mini Clinic
Mobile Mini Clinic is an health care organization with primary practice located at 2225 Prickly Pear Walk , Lawrenceville GA 30043-6344. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Mobile Mini Clinic can be contacted via phone (470) 207-1866, or through Demby, Taheerah via phone (470) 207-1866.

Contact Information

Primary practice address
2225 Prickly Pear Walk Lawrenceville GA 30043-6344
Phone: (470) 207-1866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Demby, Taheerah Family Nurse Practitioner (FNP)
Phone: (470) 207-1866

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1194362699
LBN Legal business name Mobile Mini Clinic
DBA Doing business as
Authorized official Demby, Taheerah Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2019
Last updated Jul 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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