Prohealth Integrated Medical is a
Legal Medicine based in Lawrenceville, Georgia. Prohealth Integrated Medical is licensed to practice in Georgia (license number 016356) and their current practice location is
1431 Riverside Pkwy, Lawrenceville, Georgia. It can be reached at their office (for appointments etc.) via phone at
(770) 513-0111.
NPI number for Prohealth Integrated Medical is 1588782346 and their current mailing address is 1431 Riverside Pkwy, Lawrenceville, Georgia. Prohealth Integrated Medical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1588782346.
Healthcare Provider's Profile
Full Name | Prohealth Integrated Medical |
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Type | Facility |
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Speciality | Legal Medicine |
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Location | 1431 Riverside Pkwy, Lawrenceville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588782346
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 11/08/2010
Medical Identifiers
Medical identifiers for Prohealth Integrated Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588782346 | NPI | - | NPPES |
1841244175 | Other | GA | NPI NUMBER |
1841233905 | Other | GA | NPI NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIR005026 (Georgia) | Secondary |
173000000X | Legal Medicine | 016356 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prohealth Integrated Medical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Prohealth Integrated Medical 1431 Riverside Pkwy, Lawrenceville, GA 30043-5946 Ph: (770) 513-0111 | Prohealth Integrated Medical 1431 Riverside Pkwy, Lawrenceville, GA 30043-5946 Ph: (770) 513-0111 |
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