NPI | 1912144155 |
---|---|
Doing Business As | HILLANDALE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ASIA TUCKER Office Manager 770-322-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 058550) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2016-10-27 |