PATRIOT HEALTHCARE OF GEORGIA, LLC

COLLEGE PARK, GA
NPI1275002636
Doing Business AsPHC OF GA COLLEGE PARK
Entity TypeOrganization
Authorized ContactDAVID A. CULVER
Administrator
904-825-4368
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
PATRIOT HEALTHCARE OF GEORGIA, LLC
1587 PHOENIX BOULEVARD SUITE 6
COLLEGE PARK, GA 30349
Phone number: 404-435-6029
Mailing Address
PATRIOT HEALTHCARE OF GEORGIA, LLC
100 ARRICOLA AVENUE
ST. AUGUSTINE, FL 32080
Phone number: 904-825-4368