Care Premier Plus

NPI 1194079939 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1194079939
Enumeration Date 11/01/2012
Last Updated 11/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHELDON B SHELDON
Position OPERATIONS MANAGER
Phone (706) 486-2481
Fax
Practice Location
4776 LAMB AVE
UNION POINT GA, 30669-1121, US
Phone (706) 486-2481
Fax
Business Location
4776 LAMB AVE
UNION POINT GA, 30669-1121, US
Phone (706) 486-2481
Fax
Toxanomy
Taxonomy Code 305R00000X
License State Georgia
License Number GA67890
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According to our database, Care Premier Plus NPI is 1194079939, taxonomy code is 305R00000X and license number is GA67890, license state is located at Georgia. Care Premier Plus physically located at 4776 Lamb Ave, Union Point GA, 30669-1121. NPI Number 1033115704 has the healthcare provider type.

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1194079939 NPI number is provided on an as is basis without warranty of any kind. 1194079939 is maintained by the National Plan & Provider Enumeration System. The contents of Care Premier Plus are for informational purposes only.