| NPI | 1619236205 |
|---|---|
| Doing Business As | I CARE FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARC FREDERIQUE DAVID CEO, Direct Owner 770-403-5382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 26091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.047838) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |