Organization
PHYSICIANS PRIMARY CARE GROUP INC.
Active
Other names
Cascade Primary Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE NEELY PENN (DIRECTOR, ADMINISTRATIVE SERVICES)
(404) 755-2291
Entity
Organization
Contact information
Practice address
2391 BENJAMIN E MAYS DR SW, SECOND FLOOR, ATLANTA, GA 30311-3251
(404) 755-2291
(404) 755-5377
Mailing address
PO BOX 42248, ATLANTA, GA 30311-0248
(404) 755-2291
(404) 755-5377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
097671 LGB
GA
207Q00000X
Family Medicine Physician
Primary
097671 LGB
GA
213ES0131X
Foot Surgery Podiatrist
097671 LGB
GA
Other
Enumeration date
10/17/2007
Last updated
10/11/2012
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