| Synergistix Universal LLC | |
|
3522 Habersham At Northlake Ste B Tucker GA 30084-4009 | |
| (901) 606-7966 | |
| Not Available |
| Full Name | Synergistix Universal LLC |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3522 Habersham At Northlake Ste B, Tucker, Georgia |
| Authorized Official Name and Position | Alexcius Branch (CEO) |
| Authorized Official Contact | 9016067966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergistix Universal LLC 3522 Habersham At Northlake Ste B Tucker GA 30084-4009 | Synergistix Universal LLC 3522 Habersham At Northlake Ste B Tucker GA 30084-4009 Ph: (901) 606-7966 |
| NPI Number | 1841876992 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841876992 | NPI | - | NPPES |
| 624120 | Other | GA | COMMUNITY HEALTH/MULTI-SERVICE |
| 813319 | Other | GA | COMMUNITY HEALTH/MULTI-SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
| 172V00000X | Community Health Worker | () | Secondary |
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