Nexslim of Cobb County, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NEXSLIM OF COBB COUNTY, LLC

Doing business as

Nexslim Town Center

Practice address

1615 Ridenour Blvd NW
Suite #202
Kennesaw, GA 30152-4463

Phone

(678) 664-8446

Fax

(678) 669-2000

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kristina Lynn Mann

Title

Owner

Phone

(970) 222-3043

Specialties & licenses 1

Addresses

Other names 1

• Nexslim Town Center Doing business as

Locations

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1831526276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "SUITE #202",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524463",
            "telephone_number": "678-664-8446",
            "fax_number": "678-669-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "SUITE #202",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524463",
            "telephone_number": "678-664-8446",
            "fax_number": "678-669-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXSLIM OF COBB COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-222-3043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexslim Town Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.