First Option Primary Care P.c.

NPI 1104999580 - Specialist - 174400000X

NPI Details
NPI 1104999580
Enumeration Date 11/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAMUEL SAMUEL
Position PRESIDENT
Phone (770) 653-6804
Fax (478) 464-1685
Practice Location
347 BROADMOOR WAY
MCDONOUGH GA, 30253-4290, US
Phone (770) 653-6804
Fax (478) 464-1685
Business Location
347 BROADMOOR WAY
MCDONOUGH GA, 30253-4290, US
Phone (770) 653-6804
Fax (478) 464-1685
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 042379
Remove 1104999580 NPI Number
 

According to our database, First Option Primary Care P.c. NPI is 1104999580, taxonomy code is 174400000X and license number is 042379, license state is located at Georgia. First Option Primary Care P.c. physically located at 347 Broadmoor Way, Mcdonough GA, 30253-4290. NPI Number 1033115704 has the healthcare provider type.

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1104999580 NPI number is provided on an as is basis without warranty of any kind. 1104999580 is maintained by the National Plan & Provider Enumeration System. The contents of First Option Primary Care P.c. are for informational purposes only.