Organization · NPI-2
Concierge Medical Services
Registered Nurse, Registered Nurse First Assistant · Mableton, GA
NPI number1912561259
StatusActive
Last updated in NPPESApr 23, 2019
Details
- NPI
- 1912561259
- Entity type
- Organization (NPI-2)
- Legal business name
- Concierge Medical Services
- Organization subpart
- No
- Enumeration date
- Apr 23, 2019
- Last updated
- Apr 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | – | – | Yes |
Practice location
394 Vinings Vintage CirMableton, GA 30126-7238
Phone 205-250-9966 · Fax 888-265-5564
Mailing address
394 Vinings Vintage CirMableton, GA 30126-7238
Phone 205-250-9966 · Fax 888-265-5564
Authorized official
Kevin Justin Jablonsky
Owner
2052508523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.