| Medical Consultants Of Southeast | |
|
1415 Highway 85 N Suite 310-384 Fayetteville GA 30214-4035 | |
| (404) 556-1114 | |
| Not Available |
| Full Name | Medical Consultants Of Southeast |
|---|---|
| Speciality | Clinic/center |
| Location | 1415 Highway 85 N, Fayetteville, Georgia |
| Authorized Official Name and Position | Joseph W. Williams (PRESIDENT) |
| Authorized Official Contact | 4045561114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Consultants Of Southeast 1415 Highway 85 N Suite 310-384 Fayetteville GA 30214-4035 Ph: (404) 556-1114 | Medical Consultants Of Southeast 1415 Highway 85 N Suite 310-384 Fayetteville GA 30214-4035 Ph: (404) 556-1114 |
| NPI Number | 1104084409 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 013102 (Georgia) | Primary |
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