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Organization

HOLISTICARE SOUTH LLC

Active
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Organization

HOLISTICARE SOUTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PEGGY A MOSIER (DIRECTOR CBO)
(770) 457-4677
Entity
Organization

Contact information

Practice address
4370 GEORGETOWN SQUARE, ATLANTA, GA 30338
(770) 457-4677
(678) 514-2104
Mailing address
4370 GEORGETOWN SQUARE, ATLANTA, GA 30338
(770) 457-4677
(678) 514-2104

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
06/20/2007
Last updated
08/22/2020
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