Organization
HERITAGE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LOCKE (VP)
(615) 373-7600
Entity
Organization
Contact information
Practice address
2160 FOUNTAIN DR, SNELLVILLE, GA 30078-7022
(678) 377-6933
(678) 377-6959
Mailing address
2160 FOUNTAIN DR, SNELLVILLE, GA 30078-7022
(678) 377-6933
(678) 377-6959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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