Organization
MEDCURA HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE INCLAN (CREDENTIALING)
(404) 564-9345
Entity
Organization
Contact information
Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
Mailing address
5582 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3215
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP603
MEDICARE
GA
Enumeration date
09/18/2017
Last updated
06/05/2021
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