NPI | 1831847094 |
---|---|
Doing Business As | ADVANCE CARE MEDICAL SUWANEE 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 | 2022-03-16 |
Last Update Date | 2022-03-16 |