| Northern Professional Center Inc | |
|
2295 Towne Lake Pkwy Suite 116-142 Woodstock GA 30189-5520 | |
| (912) 322-3374 | |
| Not Available |
| Full Name | Northern Professional Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2295 Towne Lake Pkwy, Woodstock, Georgia |
| Authorized Official Name and Position | Pablo M Sanu (PRESIDENT) |
| Authorized Official Contact | 9123223374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Professional Center Inc 2295 Towne Lake Pkwy Suite 116-142 Woodstock GA 30189-5520 Ph: (912) 322-3374 | Northern Professional Center Inc 2295 Towne Lake Pkwy Suite 116-142 Woodstock GA 30189-5520 Ph: (912) 322-3374 |
| NPI Number | 1619150232 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619150232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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