Provider Demographics
NPI:1093006579
Name:DIGIPLUZ HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:DIGIPLUZ HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSINLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-523-4150
Mailing Address - Street 1:6021 W ROSIE LN SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2774
Mailing Address - Country:US
Mailing Address - Phone:678-523-4150
Mailing Address - Fax:770-941-1651
Practice Address - Street 1:2451 CUMBERLAND PKWY SE
Practice Address - Street 2:SUITE 3494
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6136
Practice Address - Country:US
Practice Address - Phone:678-523-4150
Practice Address - Fax:770-941-1651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0716251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care