PROHBO - MARIETTA LLC – NPI #1417996844
Clinic/Center

PROHBO - MARIETTA LLC is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1417996844 to PROHBO - MARIETTA LLC on June 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROHBO - MARIETTA LLC below.

NPI Profile for
PROHBO - MARIETTA LLC

NPI Number
1417996844
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROHBO - MARIETTA LLC
Primary location
1455 BELLS FERRY RD
SUITE 100
MARIETTA, GA 30066-6078
Phone: (770) 421-8094 Fax: (770) 421-8096
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER GRANT
OWNER
Phone: (770) 421-8094
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.