Organization
CHIMED FIC SA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN COOPER (MANAGER)
(877) 495-7773
Entity
Organization
Contact information
Practice address
541 FOREST PKWY STE 14, FOREST PARK, GA 30297-6110
(877) 495-7773
Mailing address
PO BOX 1601, PHENIX CITY, AL 36868-1601
(334) 298-7700
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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