MBS Connection LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MT000400 Issued in GA

Legal business name

MBS CONNECTION LLC

Practice address

3400 McClure Bridge Rd
BLDG F, Ste a
Duluth, GA 30096-6675

Phone

(678) 371-6463

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Tiffany H Taft, LMT

Title

Owner

Phone

(678) 371-6463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254009600000",
    "number": "1154586667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956901",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300959516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "BLDG F, STE A",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "678-371-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-09-27",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-371-6463",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "MT000400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxa Internal Medicine Associates PC
• Richard Reid Maxa, M.D.
• Shawnay Nicole Mazell, M.D.
• Thomas J Mazzuckelli, PHD, DMD
• Theodora Mbanefo, MD
• Ijuana McCain, LAPC
• Nicole McCarthan, ATC
• Khelsea M. McCier, CPNP (N.P.)
• Aeriel McClain
• Madison Raye McClain

• Health Service Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.