Qcpi-villagemd, Pc | |
3445 Peachtree Rd Ne Ste 1200 Atlanta GA 30326-3251 | |
(678) 553-4603 | |
(470) 387-1639 |
Full Name | Qcpi-villagemd, Pc |
---|---|
Speciality | Family Medicine |
Location | 3445 Peachtree Rd Ne Ste 1200, Atlanta, Georgia |
Authorized Official Name and Position | Wendy L Rubas (GENERAL COUNSEL) |
Authorized Official Contact | 3124657898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Qcpi-villagemd, Pc 1 N Franklin Street Suite 1205 Chicago IL 60606 Ph: (847) 264-5585 | Qcpi-villagemd, Pc 3445 Peachtree Rd Ne Ste 1200 Atlanta GA 30326-3251 Ph: (678) 553-4603 |
NPI Number | 1821500042 |
---|---|
Provider Enumeration Date | 10/27/2017 |
Last Update Date | 04/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821500042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 79130 (Georgia) | Primary |
225100000X | Physical Therapist | 79130 (Georgia) | Secondary |
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