PRIME DIRECT CARE

STOCKBRIDGE, GA
NPI1881358125
Entity TypeOrganization
Authorized ContactBRIDGET RANDOLPH
Owner/Operator
678-907-0663
Organization Subpart ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
Enumeration Date2021-10-22
Last Update Date2021-10-22
Business Address
PRIME DIRECT CARE
9070 PERIDOT PKWY
STOCKBRIDGE, GA 30281-9417
Phone number: 678-907-0663
Mailing Address
PRIME DIRECT CARE
1415 HIGHWAY 85 N STE 609
FAYETTEVILLE, GA 30214-7738
Phone number: 678-907-0663
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