Toxicology Associates of North Georgia Gwinnett, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

NTO001031 Issued in GA

Legal business name

TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.

Practice address

1895 Beaver Ridge Cir
Suite N
Norcross, GA 30071-3840

Phone

(770) 248-1616

Fax

(770) 248-1618

NPI assigned

Jan 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Keelaghan, J.D.

Title

Program Sponsor

Phone

(770) 248-1616

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1033440805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "#D-291",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "770-248-1616",
            "fax_number": "770-248-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BEAVER RIDGE CIR",
            "address_2": "SUITE N",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713840",
            "telephone_number": "770-248-1616",
            "fax_number": "770-248-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "KEELAGHAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "770-248-1616",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "GA",
            "license": "NTO001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Norcross, GA
• Providers in Norcross, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.