Georgia Volunteer Health Care Program
NPI #1710437579 in Douglasville, Georgia
Provider Information
- NPI Number
- 1710437579
- Entity Type
- Organization
- Organization Name
- Georgia Volunteer Health Care Program
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 5, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 6744 BROOKFIELD WAY
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-1461
- Phone
- (770) 837-5656
Authorized Official
- Name
- MS. PRINCESS B. CLARK, FNP
- Title
- FNP
- Phone
- (770) 837-5656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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