| Superior Healthcare Of Canton, Llc | |
|
2050 Cumming Hwy Suite 100 Canton GA 30115-2314 | |
| (770) 345-9600 | |
| (770) 345-9611 |
| Full Name | Superior Healthcare Of Canton, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2050 Cumming Hwy, Canton, Georgia |
| Authorized Official Name and Position | Julia Mcclellan Thorne (OWNER) |
| Authorized Official Contact | 7703459600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Healthcare Of Canton, Llc 2050 Cumming Hwy Suite 100 Canton GA 30115-2314 Ph: (770) 345-9600 | Superior Healthcare Of Canton, Llc 2050 Cumming Hwy Suite 100 Canton GA 30115-2314 Ph: (770) 345-9600 |
| NPI Number | 1619350329 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619350329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 14936 (Georgia) | Primary |
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