Organization
MAXCARE MEDICAL CENTER, LLC
Active
Other names
PROCARE PHYSICIAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEETHA MANCHIREDDY M.D. (PRESIDENT)
(404) 844-2900
Entity
Organization
Contact information
Practice address
150 MEDICAL BLVD STE C, STOCKBRIDGE, GA 30281-5053
(678) 289-4901
Mailing address
150 MEDICAL BLVD STE C, STOCKBRIDGE, GA 30281-5053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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