| Medical Group Consultant Llc | |
|
6337 Highway 42 Suite 3 Rex GA 30273-1651 | |
| (404) 895-5510 | |
| Not Available |
| Full Name | Medical Group Consultant Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6337 Highway 42, Rex, Georgia |
| Authorized Official Name and Position | Holly Mims (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4109055678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Consultant Llc 6337 Highway 42 Suite 3 Rex GA 30273-1651 Ph: (404) 895-5510 | Medical Group Consultant Llc 6337 Highway 42 Suite 3 Rex GA 30273-1651 Ph: (404) 895-5510 |
| NPI Number | 1346586567 |
|---|---|
| Provider Enumeration Date | 12/15/2012 |
| Last Update Date | 12/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346586567 | NPI | - | NPPES |
| 003127731A | Medicaid | GA |
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