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Organization

POPHEALTHCARE MEDICAL SERVICES OF GA, LLC

Active
Other names
Virginia
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN PORTER (CREDENTIALING MANAGER)
(615) 630-0988
Entity
Organization

Contact information

Practice address
2 SUN CT STE 400, PEACHTREE CORNERS, GA 30092-2865
(615) 721-7020
(800) 266-5158
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(615) 721-7024
(800) 266-5158

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/15/2018
Last updated
02/04/2025
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