# CENTENNIAL JOINT CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063172625
- **Authorized official:** MR. JACK WRIGHT (MANAGING PARTNER)
- **Authorized official phone:** (770) 904-9014

## Contact information

- **Practice address:** 4700 NELSON BROGDON BLVD STE 220, BUFORD, GA 30518-5401
- **Practice address phone:** (770) 904-9014
- **Mailing address:** 4700 NELSON BROGDON BLVD STE 210, BUFORD, GA 30518-5401
- **Mailing address phone:** (770) 904-9014
- **Mailing address fax:** (770) 904-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2021
- **Last updated:** 06/27/2026