| NPI | 1295924157 |
|---|---|
| Doing Business As | CASCADE PRIMARY CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | ANGIE NEELY PENN Director, Administrative Services 404-755-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 097671 LGB) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 097671 LGB) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: GA 097671 LGB) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-10-11 |