# QCPI-VILLAGEMD, PC

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

## Provider details

- **NPI number:** 1821500042
- **Authorized official:** REBECCA RAGER (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (844) 969-0686

## Contact information

- **Practice address:** 3445 PEACHTREE RD NE STE 1200, ATLANTA, GA 30326-3251
- **Practice address phone:** (678) 553-4603
- **Practice address fax:** (470) 387-1639
- **Mailing address:** 1 N FRANKLIN STREET, SUITE 1205, CHICAGO, IL 60606
- **Mailing address phone:** (847) 264-5585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 79130 | GA | Yes |
| 225100000X | Physical Therapist | 79130 | GA | — |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 01/10/2025
