# COMPREHENSIVE CARE MEDICAL L.L.C

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

## Provider details

- **NPI number:** 1831313683
- **Authorized official:** MRS. DANA Y PAINE (OFFICE MANAGER)
- **Authorized official phone:** (770) 439-0198

## Contact information

- **Practice address:** 4052 ATLANTA ST, SUITE C, POWDER SPRINGS, GA 30127-2693
- **Practice address phone:** (770) 439-0198
- **Practice address fax:** (770) 439-0297
- **Mailing address:** 4052 ATLANTA ST, SUITE C, POWDER SPRINGS, GA 30127-2693
- **Mailing address phone:** (770) 439-0198
- **Mailing address fax:** (770) 439-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 016356 | GA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020