Primary Care Clinics Of Georgia

NPI 1013961846 - Family Medicine - 207Q00000X

NPI Details
NPI 1013961846
Enumeration Date 05/19/2006
Last Updated 07/21/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID LEON DAVID
Position MEDICAL DIRECTOR
Phone (770) 536-1004
Fax (770) 536-0905
Practice Location
1240 JESSE JEWELL PKWY SE
SUITE 370
GAINESVILLE GA, 30501-3862, US
Phone (770) 536-1004
Fax (770) 536-0905
Business Location
1240 JESSE JEWELL PKWY SE
SUITE 370
GAINESVILLE GA, 30501-3861, US
Phone (770) 536-1004
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 041138
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According to our database, Primary Care Clinics Of Georgia NPI is 1013961846, taxonomy code is 207Q00000X and license number is 041138, license state is located at Georgia. Primary Care Clinics Of Georgia physically located at 1240 Jesse Jewell Pkwy Se, Gainesville GA, 30501-3862. NPI Number 1033115704 has the healthcare provider type.

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1013961846 NPI number is provided on an as is basis without warranty of any kind. 1013961846 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care Clinics Of Georgia are for informational purposes only.