Organization
HOMECARE MEDICINE OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NWOKE (ORGANIZER)
(240) 271-4480
Entity
Organization
Contact information
Practice address
3330 CUMBERLAND BLVD SE, STE 500, ATLANTA, GA 30339-5995
(770) 740-2611
(770) 800-3100
Mailing address
3330 CUMBERLAND BLVD SE, STE 500, ATLANTA, GA 30339-5995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67534
GA
207R00000X
Internal Medicine Physician
Primary
68460
GA
Other
Enumeration date
11/22/2013
Last updated
08/01/2017
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