Full Plate Industries, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FULL PLATE INDUSTRIES, LLC

Practice address

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443

Phone

(678) 469-4212

NPI assigned

Aug 23, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Keisha N. Ford-Jenrette

Title

Principal

Phone

(678) 469-4212

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1477272409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SNOW BIRD DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147443",
            "telephone_number": "678-469-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL PLATE INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "FORD-JENRETTE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "678-469-4212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette I Frei, M.D.
• Timothee J Friesen, MD
• Nanna Kyerewa Frimpong, M.D.
• Charles Theodore Fryberger III, M.D.
• Full Plate Industries, LLC
• Brea Fuller, MD
• Denise Lynn Fye, MS CCC-SLP
• G Clay Taylor (Ankle & Foot Centers of Georgia)
• Ga Doctors of Optometry LLC
• Nick M Gabbay, DPM

• Clinical Medical Laboratory in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.