Organization
TOCO PREMIER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHEVA FAKHERI (NURSE PRACTITIONER)
(404) 877-8335
Entity
Organization
Contact information
Practice address
1396 HOLLY LN NE, ATLANTA, GA 30329-3554
(404) 877-8335
Mailing address
1396 HOLLY LN NE, ATLANTA, GA 30329-3554
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
05/20/2024
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