Organization
MEDICAL CARE OF GEORGIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER TKESHELASHVILI KESSLER M.D. (PRESIDENT)
(770) 345-2300
Entity
Organization
Contact information
Practice address
50 MEDICAL LN, CANTON, GA 30114-2417
(770) 345-2300
(770) 345-2330
Mailing address
50 MEDICAL LN, CANTON, GA 30114-2417
(770) 345-2300
(770) 345-2330
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
050647
GA
261QM2500X
Medical Specialty Clinic/Center
Primary
050647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958009B
—
GA
Enumeration date
02/25/2008
Last updated
11/16/2015
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