BLACKPOOL LLC

CUMMING, GA
NPI1124361811
Doing Business AsGEORGIA MEDICAL CLINIC
Entity TypeOrganization
Authorized ContactVENKATAPPA RANGARAJ
Owner
513-218-3468
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  058633)
Enumeration Date2013-04-01
Last Update Date2023-02-14
Business Address
BLACKPOOL LLC
4415 FRONT NINE DR STE 600
CUMMING, GA 30041-6239
Phone number: 770-744-7688
Mailing Address
BLACKPOOL LLC
4415 FRONT NINE DR STE 600
CUMMING, GA 30041-6239
Phone number: 770-744-7688