Organization
INFORMED CARE SOLUTIONS, INC
Active
Other names
Informed Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CONSOLATO (PRACTICE MANAGER)
(877) 800-4882
Entity
Organization
Contact information
Practice address
233 12TH ST, SUITE 800, COLUMBUS, GA 31901-2462
(877) 800-4882
(407) 786-4011
Mailing address
PO BOX 6250, CHARLOTTESVILLE, VA 22906-6250
(877) 800-4882
(407) 786-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024342
GA
363LF0000X
Family Nurse Practitioner
RN088485
GA
363LF0000X
Family Nurse Practitioner
RN150783
GA
363LF0000X
Family Nurse Practitioner
RNO60198 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4461
RR MEDICARE
—
Enumeration date
10/16/2007
Last updated
05/22/2008
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