Organization
CHN HEALTHY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HOLCOMB (OFFICE MANAGER)
(770) 334-2485
Entity
Organization
Contact information
Practice address
650 HENDERSON DR, SUITE 504, CARTERSVILLE, GA 30120-3744
(770) 334-2485
(770) 387-1458
Mailing address
650 HENDERSON DR, SUITE 504, CARTERSVILLE, GA 30120-3744
(770) 334-2485
(770) 387-1458
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
172939
GA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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