# ATLANTA PRIMARY CARE HOUSE CALLS FOR SENIOR COMMUNITIES

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

## Provider details

- **NPI number:** 1851836100
- **Authorized official:** JANICE K HOGUE-KINAHAN APRN-C (OWNER)
- **Authorized official phone:** (404) 414-3434

## Contact information

- **Practice address:** 3567 BOZEMAN LAKE RD NW, KENNESAW, GA 30144-2010
- **Practice address phone:** (404) 414-3434
- **Practice address fax:** (678) 426-7190
- **Mailing address:** 3567 BOZEMAN LAKE RD NW, KENNESAW, GA 30144-2010
- **Mailing address phone:** (404) 414-3434
- **Mailing address fax:** (678) 426-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 19964 | GA | — |
| 207Q00000X | Family Medicine Physician | 035277 | GA | — |
| 207Q00000X | Family Medicine Physician | 19964 | GA | Yes |
| 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