Organization
CARE PREMIER PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON B EBERHART (OPERATIONS MANAGER)
(404) 548-9099
Entity
Organization
Contact information
Practice address
4776 LAMB AVE, UNION POINT, GA 30669-1121
(706) 486-2481
Mailing address
4776 LAMB AVE, UNION POINT, GA 30669-1121
(706) 486-2481
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
GA67890
GA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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