Organization
SUPERIOR HEALTHCARE OF WOODSTOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN PAULK (PRESIDENT)
(678) 777-7913
Entity
Organization
Contact information
Practice address
8811 HIGHWAY 92, SUITE 114, WOODSTOCK, GA 30189-6508
(678) 777-7913
Mailing address
129 NORTHLAKE TRL, CANTON, GA 30114-8183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
01/16/2013
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