| NPI | 1588312946 |
|---|---|
| Doing Business As | ADVANCE CARE MEDICAL KENNESAW GA |
| Entity Type | Organization |
| Authorized Contact | JUSTIN SMITH Executive Chairman 866-668-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |