Organization
ADVANCED MEDICAL CLINICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ROCHE (OFFICE MANAGER)
(404) 363-6460
Entity
Organization
Contact information
Practice address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 363-6460
(404) 363-4348
Mailing address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 363-6460
(404) 363-4348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002353
GA
208D00000X
General Practice Physician
047279
GA
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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