| Standardcare, Llc | |
|
1314 Harris Way Brookhaven GA 30319-3817 | |
| (718) 710-9796 | |
| Not Available |
| Full Name | Standardcare, Llc |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 1314 Harris Way, Brookhaven, Georgia |
| Authorized Official Name and Position | Babatunde Edun (OWNER) |
| Authorized Official Contact | 7187109796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Standardcare, Llc 1314 Harris Way Brookhaven GA 30319-3817 Ph: (718) 710-9796 | Standardcare, Llc 1314 Harris Way Brookhaven GA 30319-3817 Ph: (718) 710-9796 |
| NPI Number | 1104592484 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104592484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
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