PROVIDENCE HEALTHCARE

ATLANTA, GA
NPI1699895961
Entity TypeOrganization
Authorized ContactMARY LEACH
Office Manager
770-676-6000
Organization Subpart ?No
Primary Taxonomy207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology
Additional Taxonomies111N00000X Chiropractor
(Licence: GA  CHIR005530)
171100000X Acupuncturist
(Licence: FL  000186)
Enumeration Date2007-03-30
Last Update Date2022-07-21
Business Address
PROVIDENCE HEALTHCARE
4646 N SHALLOWFORD RD
ATLANTA, GA 30338-6304
Phone number: 770-676-6000
Mailing Address
PROVIDENCE HEALTHCARE
4646 N SHALLOWFORD RD
ATLANTA, GA 30338-6304
Phone number: 770-676-6000