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1730221649
COMMUNITY CARE MD
TUCKER, GA
NPI
1730221649
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Entity Type
Organization
Authorized Contact
JANE A LING
Director Of Op
678-720-0422
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: GA 156221)
Enumeration Date
2007-02-14
Last Update Date
2020-08-22
Business Address
COMMUNITY CARE MD
5019 LAVISTA RD
TUCKER, GA 30084-3541
Phone number: 678-720-0422
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Mailing Address
COMMUNITY CARE MD
5019 LAVISTA RD
TUCKER, GA 30084-3541
Phone number: 678-720-0422
Copy
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