Organization
PERFECT HEALTH ALWAYS ON CALL, LLC
Active
Other names
Perfect Health Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY PAUL COON MD (PHYSICIAN)
(762) 218-3627
Entity
Organization
Contact information
Practice address
4244 WASHINGTON RD, EVANS, GA 30809
(706) 760-7607
(706) 760-7605
Mailing address
PO BOX 509, GROVETOWN, GA 30813
(706) 760-7607
(706) 760-7605
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
056422
GA
332900000X
Non-Pharmacy Dispensing Site
056422
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164473A
—
GA
01
—
202G706320
MEDICARE
GA
Enumeration date
05/11/2013
Last updated
07/03/2018
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