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1073872487
GEORGIA PHS PC
ATLANTA, GA
NPI
1073872487
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Entity Type
Organization
Authorized Contact
NICOLE HOWARD
CFO
337-991-9276
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2012-05-07
Last Update Date
2014-11-20
Business Address
GEORGIA PHS PC
3355 LENOX RD NE SUITE 750
ATLANTA, GA 30326-1394
Phone number: 877-260-4747
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Mailing Address
GEORGIA PHS PC
1509 DULLES DRIVE
LAFAYETTE, LA 70506
Phone number: 337-991-9276
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