Activhealthcare, Inc.

NPI 1013058742 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1013058742
Enumeration Date 02/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK MARK
Position DIRECTOR OF OPERATIONS
Phone (770) 455-0040
Fax (770) 455-6188
Practice Location
4566 LAWRENCEVILLE HWY NW
SUITE 101
LILBURN GA, 30047-3618, US
Phone (770) 455-0040
Fax (770) 455-6188
Business Location
PO BOX 1368
LILBURN GA, 30048-1368, US
Phone (770) 455-0040
Fax (770) 455-6188
Toxanomy
Taxonomy Code 305R00000X
License State
License Number
Remove 1013058742 NPI Number
 

According to our database, Activhealthcare, Inc. NPI is 1013058742, taxonomy code is 305R00000X Activhealthcare, Inc. physically located at 4566 Lawrenceville Hwy Nw, Lilburn GA, 30047-3618. NPI Number 1033115704 has the healthcare provider type.

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1013058742 NPI number is provided on an as is basis without warranty of any kind. 1013058742 is maintained by the National Plan & Provider Enumeration System. The contents of Activhealthcare, Inc. are for informational purposes only.