| Atlanta Quality Care Solutions, Llc | |
|
1990 Old Parker Rd Se Suite 100 Conyers GA 30094-6239 | |
| (678) 374-2959 | |
| (404) 975-4376 |
| Full Name | Atlanta Quality Care Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1990 Old Parker Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Linda Wynn (CEO/OWNER) |
| Authorized Official Contact | 4044290844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Quality Care Solutions, Llc 1990 Old Parker Rd Se Suite 100 Conyers GA 30094-6239 Ph: (678) 374-2959 | Atlanta Quality Care Solutions, Llc 1990 Old Parker Rd Se Suite 100 Conyers GA 30094-6239 Ph: (678) 374-2959 |
| NPI Number | 1699119255 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 07/02/2014 |
| Medicare PECOS PAC ID | 2466691258 |
|---|---|
| Medicare Enrollment ID | O20160318001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699119255 | NPI | - | NPPES |
| 003135393A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW004129 (Georgia) | Primary |
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