OLD NATIONAL PRIMARY CARE CLINIC, LLC

ATLANTA, GA
NPI1376829028
Entity TypeOrganization
Authorized ContactEVA ISABELLE BEAULIEU
Owner
786-556-0495
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  066254)
Enumeration Date2011-10-26
Last Update Date2013-05-10
Business Address
OLD NATIONAL PRIMARY CARE CLINIC, LLC
5185 OLD NATIONAL HWY
ATLANTA, GA 30349-3244
Phone number: 404-763-9300
Mailing Address
OLD NATIONAL PRIMARY CARE CLINIC, LLC
1065 JODECO RD
STOCKBRIDGE, GA 30281-4953
Phone number: 678-284-6300
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