| Civicore LLC | |
|
3950 Cobb Pkwy Nw Ste 101 Acworth GA 30101-9522 | |
| (770) 752-2663 | |
| (770) 415-8277 |
| Full Name | Civicore LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3950 Cobb Pkwy Nw Ste 101, Acworth, Georgia |
| Authorized Official Name and Position | India L Harrison (OWNER / AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 7707622663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Civicore LLC 3950 Cobb Pkwy Nw Ste 101 Acworth GA 30101-9522 Ph: (770) 762-2663 | Civicore LLC 3950 Cobb Pkwy Nw Ste 101 Acworth GA 30101-9522 Ph: (770) 752-2663 |
| NPI Number | 1912866591 |
|---|---|
| Provider Enumeration Date | 01/19/2026 |
| Last Update Date | 01/19/2026 |
| Certification Date | 01/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912866591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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