| Advance Care Medical Pcp Georgia, Inc. | |
|
5749 Wendy Bagwell Pkwy Hiram GA 30141-2815 | |
| (866) 668-2188 | |
| Not Available |
| Full Name | Advance Care Medical Pcp Georgia, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5749 Wendy Bagwell Pkwy, Hiram, Georgia |
| Authorized Official Name and Position | Justin Smith (EXECUTIVE CHAIRMAN) |
| Authorized Official Contact | 8666682188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Care Medical Pcp Georgia, Inc. 3 School St Ste 303 Glen Cove NY 11542-2548 Ph: (866) 668-2188 | Advance Care Medical Pcp Georgia, Inc. 5749 Wendy Bagwell Pkwy Hiram GA 30141-2815 Ph: (866) 668-2188 |
| NPI Number | 1679221030 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679221030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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