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Organization
POPHEALTHCARE MEDICAL SERVICES OF GA, LLC
Active
Organization
POPHEALTHCARE MEDICAL SERVICES OF GA, LLC
Active
Other names
Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PORTER (CREDENTIALING MANAGER)
(615) 630-0988
Entity
Organization
Contact information
Practice address
2 SUN CT STE 400, PEACHTREE CORNERS, GA 30092-2865
(615) 721-7020
(800) 266-5158
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(615) 721-7024
(800) 266-5158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/15/2018
Last updated
02/04/2025
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