Chimedical Diagnostics, LLC

General Practice Physician · Forest Park, GA

Organization Active NPI

NPI number 1790105740

Practice location

541 Forest Pkwy
Suite #14
Forest Park, GA 30297-6144
Phone
(877) 298-7705
Fax
(866) 837-9033

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NPI record

NPI
1790105740
Entity type
Organization (Type 2)
Enumeration date
April 17, 2014
Last updated
April 17, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 056072 GA
Chiropractor 111N00000X 4974 GA
Chiropractor 111N00000X — —

Mailing address

PO Box 1611
Phenix City, AL 36868-1611
Phone
(877) 298-7705
Fax
(866) 837-9033

Authorized official

Name
Dr. Anthony Human, D.O.
Title
Medical Manager
Phone
(214) 619-2300

About Chimedical Diagnostics, LLC

Chimedical Diagnostics, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 541 Forest Pkwy, Suite #14, Forest Park, GA 30297-6144. The NPI number 1790105740 was assigned on April 17, 2014 and the record was last updated on April 17, 2014.

Chimedical Diagnostics, LLC lists 2 licenses in the registry: #056072 (GA) for General Practice Physician; #4974 (GA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Anthony Human, D.O., Medical Manager.

Frequently asked questions

What is the NPI number of Chimedical Diagnostics, LLC?

The NPI number is 1790105740.

What is the phone number of Chimedical Diagnostics, LLC?

The phone number listed for the practice location is (877) 298-7705.

Where is Chimedical Diagnostics, LLC located?

541 Forest Pkwy, Suite #14, Forest Park, GA 30297-6144.

What is the taxonomy code for Chimedical Diagnostics, LLC?

The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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