Heritage Medical Care Llc

NPI 1457438541 - Specialist - 174400000X

NPI Details
NPI 1457438541
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHUCK CHUCK
Position VP
Phone (678) 377-6933
Fax (678) 377-6959
Practice Location
2160 FOUNTAIN DR
SNELLVILLE GA, 30078-7022, US
Phone (678) 377-6933
Fax (678) 377-6959
Business Location
2160 FOUNTAIN DR
SNELLVILLE GA, 30078-7022, US
Phone (678) 377-6933
Fax (678) 377-6959
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Heritage Medical Care Llc NPI is 1457438541, taxonomy code is 174400000X Heritage Medical Care Llc physically located at 2160 Fountain Dr, Snellville GA, 30078-7022. NPI Number 1033115704 has the healthcare provider type.

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1457438541 NPI number is provided on an as is basis without warranty of any kind. 1457438541 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Medical Care Llc are for informational purposes only.