SHITTU FAMILY PRACTICE,LLC


Address: 11679 Bruce Dr, Hampton, GA 30228-4008
Phone: 3477845788

SHITTU FAMILY PRACTICE,LLC (NPI# 1194331439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194331439
Entity Type Organization
Organization Name SHITTU FAMILY PRACTICE,LLC
Practice Address 11679 Bruce Dr
Hampton
GA 30228-4008
Practice Telephone 3477845788
Mailing Telephone 3477845788
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Authorized Official Name TAWA SITOU (FNP)
Authorized Official Telephone 3477845788
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 11679 BRUCE DR
City HAMPTON
State GA
Zip Code 30228-4008

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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NPI Name Taxonomy Address Enumeration
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1770722175 Hampton Roads Proton Beam Therapy Clinic/Center 40 Enterprise Parkway, Hampton, VA 23666-5800 2009-02-10
1053725184 Lovejoy Family Practice Inc. Clinic/Center 1883 Mcdonough Rd, Suite 200-d, Hampton, GA 30228-3516 2014-06-17

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Competitor

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City HAMPTON
Zip Code 30228

Improve Information

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Dataset Information

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.

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