STEPHANIE LYNN PRENZLIN (NPI# 1326660663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326660663 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN PRENZLIN |
| Practice Address |
1095 Berkley Dr Se Smyrna GA 30082-3105 |
| Practice Telephone | 4193073224 |
| Mailing Telephone | 4193073224 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MT007322 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1095 BERKLEY DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523574 | Denise M Leslie-willams | Neuromusculoskeletal Medicine, Sports Medicine | 220 Sandy Springs Cir Ste 157b, Atlanta, GA 30328-3861 | 2020-03-13 |
| 1700350121 | Hope Price | Neuromusculoskeletal Medicine, Sports Medicine | 154 Wedgefield Way, Statesboro, GA 30458-2464 | 2019-01-18 |
| 1265597843 | Michelle Murray Kaplita | Neuromusculoskeletal Medicine, Sports Medicine | 3668 Castlegate Dr Nw, Atlanta, GA 30327-2604 | 2006-12-26 |
| 1699834697 | Medipractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 3955 Harrison Rd, Ste. 400, Loganville, GA 30052-8501 | 2006-12-06 |
| 1013096015 | Margaret Lucinda Brantley | Neuromusculoskeletal Medicine, Sports Medicine | 100 West College Park Drive, Douglas, GA 31533 | 2006-11-02 |
| 1891788741 | Chadalavada N Kishore | Neuromusculoskeletal Medicine, Sports Medicine | 425 Third Ave, Ste 340, Albany, GA 31701 | 2005-08-25 |
| 1033522420 | Cmg1, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 6487 Pierce Chapel Rd Unit 5, Midland, GA 31820-3554 | 2014-06-04 |
| 1720358401 | Pain & Wellness Center of North Fulton | Neuromusculoskeletal Medicine, Sports Medicine | 4180 Old Milton Pkwy, 1c, Alpharetta, GA 30005-2408 | 2012-01-11 |
| 1760501555 | Phyllis Mansour | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd, Atlanta, GA 30324 | 2007-03-29 |
| 1730209446 | Arcade Kings,llc | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd Ne, Atlanta, GA 30324-6006 | 2007-03-29 |
| 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.