Organization
OLAN HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREE MATTHEWS (BILLING MANAGER)
(678) 613-2971
Entity
Organization
Contact information
Practice address
7050 JIMMY CARTER BLVD, STE 212, PEACHTREE CORNERS, GA 30092-3257
(770) 441-9585
Mailing address
7050 JIMMY CARTER BLVD, STE 212, PEACHTREE CORNERS, GA 30092-3257
(770) 441-9585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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