# PHYSICIANS PRIMARY CARE GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Primary Care Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295924157
- **Authorized official:** MS. ANGIE NEELY PENN (DIRECTOR, ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (404) 755-2291

## Contact information

- **Practice address:** 2391 BENJAMIN E MAYS DR SW, SECOND FLOOR, ATLANTA, GA 30311-3251
- **Practice address phone:** (404) 755-2291
- **Practice address fax:** (404) 755-5377
- **Mailing address:** PO BOX 42248, ATLANTA, GA 30311-0248
- **Mailing address phone:** (404) 755-2291
- **Mailing address fax:** (404) 755-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 097671 LGB | GA | — |
| 207Q00000X | Family Medicine Physician | 097671 LGB | GA | Yes |
| 213ES0131X | Foot Surgery Podiatrist | 097671 LGB | GA | — |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/11/2012