Stockbridge Family Care Center

NPI 1124051636 - Clinic/Center - 261QP2300X

NPI Details
NPI 1124051636
Enumeration Date 07/08/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSANA SUSANA
Position OFFICE MANAGER
Phone (404) 207-1860
Fax (404) 207-1864
Practice Location
1231 EAGLES LANDING PKWY
SUITE A
STOCKBRIDGE GA, 30281-5013, US
Phone (404) 207-1860
Fax (404) 207-1864
Business Location
1231 EAGLES LANDING PKWY
SUITE A
STOCKBRIDGE GA, 30281-5013, US
Phone (404) 207-1860
Fax (404) 207-1864
Toxanomy
Taxonomy Code 261QP2300X
License State Georgia
License Number 053736
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According to our database, Stockbridge Family Care Center NPI is 1124051636, taxonomy code is 261QP2300X and license number is 053736, license state is located at Georgia. Stockbridge Family Care Center physically located at 1231 Eagles Landing Pkwy, Stockbridge GA, 30281-5013. NPI Number 1033115704 has the healthcare provider type.

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1124051636 NPI number is provided on an as is basis without warranty of any kind. 1124051636 is maintained by the National Plan & Provider Enumeration System. The contents of Stockbridge Family Care Center are for informational purposes only.