| Chimed Fic Sa LLC | |
|
541 Forest Pkwy Ste 14 Forest Park GA 30297-6110 | |
| (877) 495-7773 | |
| Not Available |
| Full Name | Chimed Fic Sa LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 541 Forest Pkwy Ste 14, Forest Park, Georgia |
| Authorized Official Name and Position | Stephen Cooper (MANAGER) |
| Authorized Official Contact | 8774957773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chimed Fic Sa LLC Po Box 1601 Phenix City AL 36868-1601 Ph: (334) 298-7700 | Chimed Fic Sa LLC 541 Forest Pkwy Ste 14 Forest Park GA 30297-6110 Ph: (877) 495-7773 |
| NPI Number | 1447839196 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447839196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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