Sacred Heart Medical Clinic LLC

NPI #1699197582 in Chamblee, Georgia

Provider Information

NPI Number
1699197582
Entity Type
Organization
Organization Name
Sacred Heart Medical Clinic LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 10, 2014
Last Updated
Jan 10, 2014

Practice Location

Address
3146 CHAMBLEE DUNWOODY RD STE 103
State
Georgia
ZIP Code
30341-2967
Phone
(678) 530-0877

Authorized Official

Name
DR. FRANKLIN THEODORE VON HACK-PRESTINARY, MD
Title
MEDICAL DIRECTOR
Phone
(678) 530-0877

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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