| Saint Joseph's Mercy Care Services, Inc. | |
|
1407 Cobb Parkway Nw Marietta GA 30060-6546 | |
| (678) 843-8600 | |
| Not Available |
| Full Name | Saint Joseph's Mercy Care Services, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1407 Cobb Parkway Nw, Marietta, Georgia |
| Authorized Official Name and Position | Erica M Stokes (VP OF FINANCE) |
| Authorized Official Contact | 6788438530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph's Mercy Care Services, Inc. 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care Services, Inc. 1407 Cobb Parkway Nw Marietta GA 30060-6546 Ph: (678) 843-8600 |
| NPI Number | 1023658523 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023658523 | NPI | - | NPPES |
| 11-1827 | Other | GA | PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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