Organization Active NPI

P & J Enterprises of West Atl, Inc.

  • Health Service Clinic/Center
  • Marietta, GA
National Provider Identifier
1346366747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
034278 Issued in GA
Legal business name
P & J ENTERPRISES OF WEST ATL, INC.
Practice address
114 Cherry St NE
Suite C
Marietta, GA 30060-7277
Phone
(770) 424-2211
Fax
(770) 424-5010
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Joseph Huau
Title
Owner
Phone
(770) 424-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 034278 GA Primary

Addresses

Primary practice location

114 Cherry St NE
Suite C
Marietta, GA 30060-7277

Mailing address

114 Cherry St NE
Suite C
Marietta, GA 30060-7277
Phone (770) 424-2211

Other names 1

  • National Vascular CLinic Doing business as

National Provider Directory

National Provider Directory

Locations

114 Cherry St NE
Ste C
Marietta, GA 30060
Phone (770) 424-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346366747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CHERRY ST NE",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607277",
            "telephone_number": "770-424-2211",
            "fax_number": "770-424-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHERRY ST NE",
            "address_2": "SUITE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607277",
            "telephone_number": "770-424-2211",
            "fax_number": "770-424-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & J ENTERPRISES OF WEST ATL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUAU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-424-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "034278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Vascular CLinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.