Organization
PROCARE MEDICAL GROUP, LLC
Active
Organization
PROCARE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TATE (ADMINISTRATOR)
(770) 428-8700
Entity
Organization
Contact information
Practice address
1395 S MARIETTA PKWY SE, BLDG 100 SUITE 102, MARIETTA, GA 30067-4440
(770) 425-8700
(770) 425-8740
Mailing address
1395 S MARIETTA PKWY SE, BLDG 100 SUITE 102, MARIETTA, GA 30067-4440
(770) 425-8700
(770) 425-8740
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
GA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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