Organization
HOLISTICARE SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY A MOSIER (DIRECTOR CBO)
(770) 457-4677
Entity
Organization
Contact information
Practice address
4370 GEORGETOWN SQUARE, ATLANTA, GA 30338
(770) 457-4677
(678) 514-2104
Mailing address
4370 GEORGETOWN SQUARE, ATLANTA, GA 30338
(770) 457-4677
(678) 514-2104
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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