| Pmc Long Term Care, LLC | |
|
190 Greencastle Rd # 2 Tyrone GA 30290-2936 | |
| (770) 487-7807 | |
| (770) 487-7619 |
| Full Name | Pmc Long Term Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Greencastle Rd # 2, Tyrone, Georgia |
| Authorized Official Name and Position | Zia Khan (OWNER) |
| Authorized Official Contact | 7704877807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmc Long Term Care, LLC 190 Greencastle Rd # 2 Tyrone GA 30290-2936 Ph: (770) 487-7807 | Pmc Long Term Care, LLC 190 Greencastle Rd # 2 Tyrone GA 30290-2936 Ph: (770) 487-7807 |
| NPI Number | 1699396457 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699396457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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