Organization
CONCENTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H JORAN JR. P.A. (PHYSICIAN)
(770) 403-4200
Entity
Organization
Contact information
Practice address
3980 WILLOW RIDGE RD, DOUGLASVILLE, GA 30135-2774
(770) 403-4200
Mailing address
3980 WILLOW RIDGE RD, DOUGLASVILLE, GA 30135-2774
(770) 403-4200
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
001968
GA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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