Summit Health Primary And Urgent Care Llc | |
120 Handley Rd Bldg 400 Ste #410 Tyrone GA 30290-3029 | |
(678) 430-8478 | |
Not Available |
Full Name | Summit Health Primary And Urgent Care Llc |
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Speciality | Clinic/center - Primary Care |
Location | 120 Handley Rd Bldg 400 Ste #410, Tyrone, Georgia |
Authorized Official Name and Position | Jared Deraney (OWNER) |
Authorized Official Contact | 4804820934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Health Primary And Urgent Care Llc Po Box 935719 Atlanta GA 31193-5719 Ph: (678) 430-8478 | Summit Health Primary And Urgent Care Llc 120 Handley Rd Bldg 400 Ste #410 Tyrone GA 30290-3029 Ph: (678) 430-8478 |
NPI Number | 1730729849 |
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Provider Enumeration Date | 01/07/2020 |
Last Update Date | 10/02/2020 |
Identifier | Type | State | Issuer |
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1730729849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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