# ACSH PRIMARY CARE OF GEORGIA, LLC

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

## Provider details

- **NPI number:** 1598185548
- **Authorized official:** MR. NORMAN WINLAND (COO)
- **Authorized official phone:** (404) 465-1000

## Contact information

- **Practice address:** 4861 BILL GARDNER PKWY, LOCUST GROVE, GA 30248-3644
- **Practice address phone:** (770) 626-5740
- **Practice address fax:** (770) 626-5765
- **Mailing address:** PO BOX 101047, ATLANTA, GA 30392-1047
- **Mailing address phone:** (404) 465-1000
- **Mailing address fax:** (678) 828-8061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 08/17/2015