| Southeastern Primary Care Providers | |
|
1035 Southcrest Dr Ste 200 Stockbridge GA 30281-6118 | |
| (770) 716-7999 | |
| Not Available |
| Full Name | Southeastern Primary Care Providers |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 Southcrest Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | Cheryl Osborne (PRACTICE MANAGER) |
| Authorized Official Contact | 7707167999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Primary Care Providers 105 Carnegie Pl Ste 103 Fayetteville GA 30214-3980 Ph: (770) 716-7999 | Southeastern Primary Care Providers 1035 Southcrest Dr Ste 200 Stockbridge GA 30281-6118 Ph: (770) 716-7999 |
| NPI Number | 1699081885 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699081885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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