Organization
COMMUNITY CARE PATHWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOEKLAND THOMAS (FOUNDER)
(770) 988-4956
Entity
Organization
Contact information
Practice address
6470 E JOHNS XING STE 160, JOHNS CREEK, GA 30097-1500
(770) 988-4956
(770) 988-4956
Mailing address
990 PEACHTREE INDUSTRIAL BLVD UNIT 1207, SUWANEE, GA 30024-5209
(770) 988-4956
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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