Organization
US MEDCLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A HARRIS M.D. (OWNER)
(678) 974-1240
Entity
Organization
Contact information
Practice address
714 CEDAR ST, CARROLLTON, GA 30117-2415
(678) 974-1240
Mailing address
714 CEDAR ST, CARROLLTON, GA 30117-2415
(678) 974-1240
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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