PROHEALTH SPINAL AND REHAB CENTER (NPI# 1740530195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740530195 |
| Entity Type | Organization |
| Organization Name | PROHEALTH SPINAL AND REHAB CENTER |
| Practice Address |
1860 Atkinson Rd Ste 116 Lawrenceville GA 30043-5066 |
| Practice Telephone | 7708766972 |
| Practice Fax Number | 7704522844 |
| Mailing Telephone | 7708766972 |
| Mailing Fax Number | 7704522844 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | ABDO IBRAHIM (PHYSICIAN) |
| Authorized Official Telephone | 7708766972 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 007116 | GA | Ambulatory Health Care Facilities |
| Street Address |
1860 ATKINSON RD STE 116 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| 1205212917 | Tcwc Lawrenceville LLC | Clinic/Center | 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA 30045-9492 | 2015-08-04 |
| 1376928861 | Starting Point Wellness, LLC | Clinic/Center | 965 Oakland Rd Ste E, Lawrenceville, GA 30044-3758 | 2015-07-25 |
| 1356692404 | Kl Medical Clinic, LLC. | Clinic/Center | 905 Parkside Walk Ln Ste 100a, Lawrenceville, GA 30043-7314 | 2012-09-28 |
| 1366714040 | Human Wellness | Clinic/Center | 892 Cooper Way, Lawrenceville, GA 30046-6101 | 2012-01-27 |
| 1780876375 | American Current Care Pa | Clinic/Center | 755 Lawrenceville Suwanee Road, Suite 1600, Lawrenceville, GA 30043 | 2007-08-16 |
| 1407419302 | Applied Behavioral Connections Inc | Clinic/Center | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-16 |
| 1174041354 | Pediatric Therapy Solutions, LLC | Clinic/Center | 3131 Princeton Pike Ste 100, Lawrenceville, NJ 08648-2201 | 2017-09-07 |
| 1518262203 | Arc Mercer, Inc. | Clinic/Center | 3131 Princeton Pike Ste 109, Lawrenceville, NJ 08648-2201 | 2011-01-11 |
| 1679875173 | Abundant Life Healthcare | Clinic/Center | 601 Professional Dr Ste 370, Lawrenceville, GA 30046-7670 | 2010-12-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on PROHEALTH SPINAL AND REHAB CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.