# SYNERGISTIX UNIVERSAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841876992
- **Authorized official:** DR. ALEXCIUS BRANCH (CEO)
- **Authorized official phone:** (901) 606-7966

## Contact information

- **Practice address:** 3522 HABERSHAM AT NORTHLAKE STE B, TUCKER, GA 30084-4009
- **Practice address phone:** (901) 606-7966
- **Mailing address:** 3522 HABERSHAM AT NORTHLAKE STE B, TUCKER, GA 30084-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 03/19/2021