Wellformed AI

NPI 1912561259 · live from the CMS NPI Registry

Concierge Medical Services

Registered Nurse, Registered Nurse First Assistant in Mableton, GA. National Provider Identifier 1912561259, active.

NPI record

NPI1912561259 Type 2 · organization
StatusActive
Primary specialtyRegistered Nurse, Registered Nurse First Assistant 163WR0006X
Practice location394 Vinings Vintage Cir, Mableton, GA 30126
Practice phone205-250-9966
EnumeratedApril 23, 2019
Last updatedApril 23, 2019
Authorized officialKevin Jablonsky, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Registered Nurse First Assistant primary163WR0006X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.