| Acsh Primary Care Of Georgia, Llc | |
|
4861 Bill Gardner Pkwy Locust Grove GA 30248-3644 | |
| (770) 626-5740 | |
| (770) 626-5765 |
| Full Name | Acsh Primary Care Of Georgia, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4861 Bill Gardner Pkwy, Locust Grove, Georgia |
| Authorized Official Name and Position | Norman Winland (COO) |
| Authorized Official Contact | 4044651000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acsh Primary Care Of Georgia, Llc Po Box 101047 Atlanta GA 30392-1047 Ph: (404) 465-1000 | Acsh Primary Care Of Georgia, Llc 4861 Bill Gardner Pkwy Locust Grove GA 30248-3644 Ph: (770) 626-5740 |
| NPI Number | 1598185548 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598185548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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