Advance Care Medical Pcp Georgia, Inc.

NPI #1679221030 in Hiram, Georgia

Provider Information

NPI Number
1679221030
Entity Type
Organization
Organization Name
Advance Care Medical Pcp Georgia, Inc.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 15, 2022
Last Updated
Mar 15, 2022

Practice Location

Address
5749 WENDY BAGWELL PKWY
City
Hiram
State
Georgia
ZIP Code
30141-2815
Phone
(866) 668-2188

Authorized Official

Name
JUSTIN SMITH
Title
EXECUTIVE CHAIRMAN
Phone
(866) 668-2188

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Primary CarePrimary Care

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