Organization
AUBURN PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARK SCHLOSSBERG M.D. (OWNER)
(770) 822-5555
Entity
Organization
Contact information
Practice address
12 7TH ST, AUBURN, GA 30011-3202
(770) 822-5555
(770) 822-6117
Mailing address
12 7TH ST, AUBURN, GA 30011-3202
(770) 822-5555
(770) 822-6117
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
044330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000825404B
—
GA
Enumeration date
01/23/2009
Last updated
01/23/2009
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