Organization
C-WORTH FAMILY WALK-IN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY ELLIOTT NP (OWNER)
(423) 339-2321
Entity
Organization
Contact information
Practice address
2976 HIGHWAY 76, SUITE B & C, CHATSWORTH, GA 30705-6981
(423) 339-2320
(423) 339-2321
Mailing address
2976 HIGHWAY 76, SUITE B & C, CHATSWORTH, GA 30705-6981
(423) 339-2320
(423) 339-2321
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN115578NP
GA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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