He Cares Medical Walk In Clinic Llc

NPI 1083968481 - General Practice - 208D00000X

NPI Details
NPI 1083968481
Enumeration Date 11/07/2012
Last Updated 11/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALFONSO CLEVELAND ALFONSO
Position PRESIDENT/MEDICAL DIRECTOR
Phone (678) 665-9180
Fax
Practice Location
4550 JONESBORO RD
SUITE K
UNION CITY GA, 30291-2050, US
Phone (678) 665-9180
Fax
Business Location
PO BOX 410
UNION CITY GA, 30291-0410, US
Phone (678) 665-9180
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 028542
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According to our database, He Cares Medical Walk In Clinic Llc NPI is 1083968481, taxonomy code is 208D00000X and license number is 028542, license state is located at Georgia. He Cares Medical Walk In Clinic Llc physically located at 4550 Jonesboro Rd, Union City GA, 30291-2050. NPI Number 1033115704 has the healthcare provider type.

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1083968481 NPI number is provided on an as is basis without warranty of any kind. 1083968481 is maintained by the National Plan & Provider Enumeration System. The contents of He Cares Medical Walk In Clinic Llc are for informational purposes only.