Organization
ROCKDALE PHYSICIAN PRACTICES, LLC
Active
Other names
Premier Healthcare Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D VAUGHN (VICE PRESIDENT)
(615) 372-8505
Entity
Organization
Contact information
Practice address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 992-3522
(770) 922-3662
Mailing address
PO BOX 116202, ATLANTA, GA 30368-6202
(770) 922-0734
(770) 922-0734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54898
GA
Other
Enumeration date
07/10/2013
Last updated
07/30/2013
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