# JW MEDICAL CARE, LLC

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

## Provider details

- **NPI number:** 1730329806
- **Authorized official:** S. LOGAN ALLEN (PRACTICE MANAGER)
- **Authorized official phone:** (678) 252-2137

## Contact information

- **Practice address:** 2225 GODBY RD, COLLEGE PARK, GA 30349-5012
- **Practice address phone:** (404) 767-8274
- **Practice address fax:** (404) 768-8035
- **Mailing address:** PO BOX 1016, SNELLVILLE, GA 30078-1016
- **Mailing address phone:** (678) 252-2137
- **Mailing address fax:** (678) 336-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2009
- **Last updated:** 11/18/2011