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1316389901
COMMUNITY BASED HEALTHCARE SERVICES
TUCKER, GA
NPI
1316389901
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Entity Type
Organization
Authorized Contact
DERRICK BOSWELL
Director
678-964-7107
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
COMMUNITY BASED HEALTHCARE SERVICES
2374 MAIN ST STE B
TUCKER, GA 30084-4533
Phone number: 678-964-7107
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Mailing Address
COMMUNITY BASED HEALTHCARE SERVICES
2374 MAIN ST STE B
TUCKER, GA 30084-4533
Phone number: 678-964-7107
Copy
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