DR. VINCENTIA PAUL-CONSTANTIN (NPI# 1225567597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225567597 |
Entity Type | Individual |
Full Name | DR. VINCENTIA PAUL-CONSTANTIN |
Credential | PHD |
Practice Address |
2867 Country House Lane Buford GA 30519 |
Mailing Address |
2867 Country House Ln Buford GA 30519-7647 |
Practice Telephone | (678) 613-1242 |
Mailing Telephone | 6786131242 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Street Address |
2867 COUNTRY HOUSE LANE |
City | BUFORD |
State | GA |
Zip Code | 30519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154880763 | Walter Kalenik | Physical Therapist | 3694 Lake Rabun Ct, Buford, GA 30519 | 2019-03-14 |
1083127500 | Bunmi Yemisi Folarinde | Nurse Practitioner | 3616 S Bogan Rd Ste 202, Buford, GA 30519 | 2017-11-06 |
1124546817 | Jenny Chang | Pharmacist | 2635 General Lee Way, Buford, GA 30519 | 2017-09-02 |
1588181853 | Vincent Spencer | Nurse Practitioner | 2128 Mill Garden Run, Buford, GA 30519 | 2017-08-27 |
1043668361 | Jacob Matthew Minor | Chiropractor | 2725 Hamilton Rd, Ste 500, Buford, GA 30519 | 2016-05-26 |
1477910941 | Nicole Camp | Nurse Practitioner | 2725 Mall of Georgia Blvd, Buford, GA 30519 | 2016-01-28 |
1235519240 | Moyra Renee Betuzzi-teas | Obstetrics & Gynecology | 2527 Mall of Georgia Blvd, Buford, GA 30519 | 2015-06-04 |
1104250950 | Coyette Annisee Telemaque | Nurse Practitioner | 3331 Hamilton Mill Rd Ste 1102, Buford, GA 30519 | 2013-08-29 |
1649552134 | Indira Ashok Patel | Physical Medicine & Rehabilitation | 2839 Hidden Falls Drive, Buford, GA 30519 | 2011-09-12 |
1699923516 | Justin Daniel Needham | Ophthalmology | 1995 Mall of Georgia Blvd Ste A, Buford, GA 30519 | 2008-09-04 |
Find all providers in zip 30519 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1922653534 | Five Star Education Advocacy Group Inc | Clinic/Center | 978 Fellowship Rd, Fairburn, GA 30213-1789 | 2019-08-09 |
1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
1285149955 | Alicia Gordon | Clinic/Center | 132 Carol Cir, Fitzgerald, GA 31750-8128 | 2017-12-04 |
1598158909 | Musik To Grow | Clinic/Center | 1517 Johnson Ferry Rd, Marietta, GA 30062-6493 | 2015-03-09 |
1356692800 | Ridgewood Personal Care Home, Inc | Clinic/Center | 1065 Murray Cir Sw, Marietta, GA 30064-3927 | 2012-09-24 |
1790055432 | Trapeze Therapy, LLC | Clinic/Center | 160 Tracy St, Suite A, Athens, GA 30601-1979 | 2012-01-11 |
1326316274 | Early/miller Day (now) | Clinic/Center | 302 Damacus Street, Blakely, GA 39823-3346 | 2011-12-07 |
1710255773 | Early Miller Personal Support (now) | Clinic/Center | 302 Damascus Street, Blakely, GA 39823-3346 | 2011-12-06 |
1790052637 | Terrell Lee (now) | Clinic/Center | 508 Oak St Se, Dawson, GA 39842-2024 | 2011-11-21 |
Find all providers with the same taxonomy |
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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.