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1013058742
ACTIVHEALTHCARE, INC.
TUCKER, GA
NPI
1013058742
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Entity Type
Organization
Authorized Contact
MARK BRICKHOUSE
Executive Director
770-455-0040
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-02-08
Last Update Date
2021-09-15
Business Address
ACTIVHEALTHCARE, INC.
1926 NORTHLAKE PKWY STE 100
TUCKER, GA 30084-7069
Phone number: 770-455-0040
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Mailing Address
ACTIVHEALTHCARE, INC.
1926 NORTHLAKE PKWY STE 100
TUCKER, GA 30084-7069
Phone number: 770-455-0040
Copy
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