Organization
PACED MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIND SMITH (ADMINISTRATOR)
(404) 957-2624
Entity
Organization
Contact information
Practice address
129 BANKHEAD HWY, CARROLLTON, GA 30117-3425
(770) 838-8440
Mailing address
129 BANKHEAD HWY, CARROLLTON, GA 30117-3425
(770) 838-8440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
—
251B00000X
Case Management Agency
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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