Your Care At Home Llc | |
4132 Atlanta Hwy Ste 110-199 Loganville GA 30052-5285 | |
(678) 506-1778 | |
Not Available |
Full Name | Your Care At Home Llc |
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Speciality | Clinic/center - Primary Care |
Location | 4132 Atlanta Hwy Ste 110-199, Loganville, Georgia |
Authorized Official Name and Position | Courtney B Cook (MEMBER) |
Authorized Official Contact | 6785061778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Your Care At Home Llc 4132 Atlanta Hwy Ste 110-199 Loganville GA 30052-5285 Ph: (678) 506-1778 | Your Care At Home Llc 4132 Atlanta Hwy Ste 110-199 Loganville GA 30052-5285 Ph: (678) 506-1778 |
NPI Number | 1912517921 |
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Provider Enumeration Date | 08/04/2020 |
Last Update Date | 08/04/2020 |
Identifier | Type | State | Issuer |
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1912517921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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