| Resurgia Health Solutions Pc | |
|
1233 Highway 54 W Ste 130 Fayetteville GA 30214-4542 | |
| (404) 445-5304 | |
| (404) 445-5173 |
| Full Name | Resurgia Health Solutions Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1233 Highway 54 W Ste 130, Fayetteville, Georgia |
| Authorized Official Name and Position | Kevin Charles (GENERAL MANAGER) |
| Authorized Official Contact | 4044455304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgia Health Solutions Pc 1100 Peachtree St Ne Ste 200 Atlanta GA 30309-4829 Ph: (404) 445-5304 | Resurgia Health Solutions Pc 1233 Highway 54 W Ste 130 Fayetteville GA 30214-4542 Ph: (404) 445-5304 |
| NPI Number | 1609544493 |
|---|---|
| Provider Enumeration Date | 09/06/2021 |
| Last Update Date | 09/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609544493 | NPI | - | NPPES |
| 003239762A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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