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Organization
CENTENNIAL JOINT CARE INC
Active
Organization
CENTENNIAL JOINT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WRIGHT (MANAGING PARTNER)
(770) 904-9014
Entity
Organization
Contact information
Practice address
4700 NELSON BROGDON BLVD STE 220, BUFORD, GA 30518-5401
(770) 904-9014
Mailing address
4700 NELSON BROGDON BLVD STE 210, BUFORD, GA 30518-5401
(770) 904-9014
(770) 904-9011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
06/27/2026
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