| Corporate Medical Care, Pc | |
|
2151a Idlewood Rd Tucker GA 30084-4816 | |
| (770) 270-1622 | |
| Not Available |
| Full Name | Corporate Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2151a Idlewood Rd, Tucker, Georgia |
| Authorized Official Name and Position | Mark Banov (OWNER) |
| Authorized Official Contact | 7702701622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporate Medical Care, Pc 3025 Breckinridge Blvd Duluth GA 30096-4979 Ph: (678) 226-0082 | Corporate Medical Care, Pc 2151a Idlewood Rd Tucker GA 30084-4816 Ph: (770) 270-1622 |
| NPI Number | 1780626481 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780626481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 033519 (Georgia) | Primary |
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