Organization
GEM PRIMARY HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE ECCLESTON MENCHION FNP-BC (NP)
(404) 514-6066
Entity
Organization
Contact information
Practice address
175 COUNTRY CLUB DR BLDG 100D, STOCKBRIDGE, GA 30281-7380
(678) 819-5497
(678) 601-1508
Mailing address
175 COUNTRY CLUB DR BLDG 100D, STOCKBRIDGE, GA 30281-7380
(678) 819-5497
(678) 601-1508
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
03/03/2023
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