Provider Demographics
NPI:1922825496
Name:SPRINGHILL MEDICAL LLC
Entity type:Organization
Organization Name:SPRINGHILL MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AUTHERINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:ABIRI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:470-334-9399
Mailing Address - Street 1:11585 JONES BRIDGE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7476
Mailing Address - Country:US
Mailing Address - Phone:470-334-9399
Mailing Address - Fax:
Practice Address - Street 1:1145 SETTLES CREEK WAY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:470-334-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN212591OtherLICENCE