Centerwell Senior Primary Care Ga PC

NPI #1013672815 in Atlanta, Georgia

Provider Information

NPI Number: 1013672815
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Ga PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE GA PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 5, 2021
Last Updated: Jul 3, 2024

Practice Location

Address: 2056 DONALD LEE HOLLOWELL PKWY NW STE 1
City: Atlanta
State: Georgia
ZIP Code: 30318-4764
Phone: (470) 890-3910

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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