Active NPI
The Lymph Clinic LLC
- Occupational Therapist
- Snellville, GA
National Provider Identifier
1457703514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- THE LYMPH CLINIC LLC
- Practice address
- 2321 Henry Clower Blvd
Suite a
Snellville, GA 30078-7419 - Phone
- (770) 802-4446
- Fax
- (770) 802-4464
- NPI assigned
- Jul 12, 2016
- Last updated
- Mar 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julian Davis Mills Watson
- Title
- Owner
- Phone
- (770) 802-4446
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2321 Henry Clower Blvd
Suite a
Snellville, GA 30078-7419
Mailing address
2321 Henry Clower Blvd
Suite a
Snellville, GA 30078-7419
Phone (770) 802-4446
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1457703514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 HENRY CLOWER BLVD",
"address_2": "SUITE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787419",
"telephone_number": "770-802-4446",
"fax_number": "770-802-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 HENRY CLOWER BLVD",
"address_2": "SUITE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787419",
"telephone_number": "770-802-4446",
"fax_number": "770-802-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LYMPH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "MILLS WATSON",
"authorized_official_first_name": "JULIAN",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-802-4446"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.