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Organization
CARE1 SC, LLC
Active
Organization
CARE1 SC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HICKS (CEO)
(678) 801-2329
Entity
Organization
Contact information
Practice address
2030 POWERS FERRY RD SE, SUITE 120, ATLANTA, GA 30339
(678) 801-2329
Mailing address
2030 POWERS FERRY RD SE, SUITE 120, ATLANTA, GA 30339
(678) 801-2329
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2016
Last updated
08/25/2016
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