4Kloor LLC
Organization Active NPI Clinic/Center · Canton, GA
NPI 1780936252 · NPPES record last updated Oct 10, 2012
Key facts
- NPI
- 1780936252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 00658 (GA)
- Legal business name
- 4KLOOR LLC
- Practice address
- 1558 Marietta Hwy
230
Canton, GA 30114-3616 - Phone
- (678) 880-6879
- Fax
- (678) 880-8834
- NPI assigned
- Oct 9, 2012
- Organization subpart
- No
Authorized official
- Name
- Cesar Loor
- Title
- Physician Assistant
- Phone
- (678) 880-6879
National Provider Directory
Locations
1558 Marietta Hwy
Ste 230
Canton, GA 30114
Phone (678) 880-6879
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 160312 | GA | |
| Clinic/Center | 261Q00000X | |||
| Clinic/Center | 261Q00000X | 00658 | GA | Yes |
Addresses
Primary practice location
1558 Marietta Hwy
230
Canton, GA 30114-3616
Mailing address
1558 Marietta Hyw
230
Canton, GA 30114
Phone (678) 880-6879
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.