NPI | 1124353339 |
---|---|
Doing Business As | PRIMARY MEDICAL HEALTHCARE PRACTICE |
Entity Type | Organization |
Authorized Contact | REDA COSTON Healthcare Administration Executive 404-800-5550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 103TH0100X Psychologist, Health Service |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
251J00000X Nursing Care | |
251S00000X | |
261Q00000X Clinic/Center | |
302R00000X Health Maintenance Organization | |
305R00000X Preferred Provider Organization | |
Enumeration Date | 2009-10-06 |
Last Update Date | 2020-07-16 |