Princeton Lakes Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

1689894883 Issued in GA

Legal business name

PRINCETON LAKES INTERNAL MEDICINE

Practice address

3885 Princeton Lakes Way SW
Atlanta, GA 30331-5589

Phone

(404) 344-0059

Fax

(404) 344-9195

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda White

Title

Medical Biller

Phone

(678) 637-9155

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1649454265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "404-344-0059",
            "fax_number": "404-344-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "404-344-0059",
            "fax_number": "404-344-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON LAKES INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "678-637-9155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "1689894883",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "1538167119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua P Prince
• Kenneth D Prince, N.P.
• Latashia Prince
• Sharmonica Monique Prince
• William O Prince, MD
• Princeton Lakes Pediatrics, LLC
• Principal Growth LLC (Family First)
• Toni Lynn Prine, RPH
• Joseph C Pringle, LPC
• Kimberly Pringle, M.D.

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.