Stone Mountain Immediate Medical Care, Inc.
NPI #1578569323 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1578569323
- Entity Type
- Organization
- Organization Name
- Stone Mountain Immediate Medical Care, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 27, 2005
- Last Updated
- Nov 20, 2022
Practice Location
- Address
- 833 N HAIRSTON RD
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-3423
- Phone
- (770) 879-5553
Authorized Official
- Name
- MS. DORIS LYNN DAVIS
- Title
- CREDENTIALING MGR
- Phone
- (770) 879-5553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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