Organization
FIDELITY HEALTH CARE GROUP, LLC
Active
Organization
FIDELITY HEALTH CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A GLENN JR. MD (MEDICAL DIRECTOR)
(478) 290-8509
Entity
Organization
Contact information
Practice address
950 EAGLES LANDING PKWY, # 152, STOCKBRIDGE, GA 30281-7343
(703) 929-8967
(404) 601-8328
Mailing address
950 EAGLES LANDING PKWY, # 152, STOCKBRIDGE, GA 30281-7343
(703) 929-8967
(404) 601-8328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
038495
GA
261Q00000X
Clinic/Center
Primary
038495
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194765420
NPI
GA
Enumeration date
06/18/2015
Last updated
01/13/2024
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