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Organization
ATLANTA PRIMARY CARE HOUSE CALLS FOR SENIOR COMMUNITIES
Active
Organization
ATLANTA PRIMARY CARE HOUSE CALLS FOR SENIOR COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE K HOGUE-KINAHAN APRN-C (OWNER)
(404) 414-3434
Entity
Organization
Contact information
Practice address
3567 BOZEMAN LAKE RD NW, KENNESAW, GA 30144-2010
(404) 414-3434
(678) 426-7190
Mailing address
3567 BOZEMAN LAKE RD NW, KENNESAW, GA 30144-2010
(404) 414-3434
(678) 426-7190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19964
GA
207Q00000X
Family Medicine Physician
035277
GA
207Q00000X
Family Medicine Physician
Primary
19964
GA
207R00000X
Internal Medicine Physician
19964
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
19964
GA
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/22/2016
Last updated
05/19/2021
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