| Sacred Heart Medical Clinic Llc | |
|
3146 Chamblee Dunwoody Rd Ste 103 Chamblee GA 30341-2967 | |
| (678) 530-0877 | |
| (678) 530-0700 |
| Full Name | Sacred Heart Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3146 Chamblee Dunwoody Rd Ste 103, Chamblee, Georgia |
| Authorized Official Name and Position | Franklin Theodore Von Hack-prestinary (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6785300877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Medical Clinic Llc 3146 Chamblee Dunwoody Rd Ste 103 Chamblee GA 30341-2967 Ph: (678) 530-0877 | Sacred Heart Medical Clinic Llc 3146 Chamblee Dunwoody Rd Ste 103 Chamblee GA 30341-2967 Ph: (678) 530-0877 |
| NPI Number | 1699197582 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699197582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 39501 (Georgia) | Primary |
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