Organization
GOOD SHEPHERD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA W PAGE (CLINIC ADMINISTRATOR)
(770) 960-5701
Entity
Organization
Contact information
Practice address
6392 MURPHY DR, MORROW, GA 30260-1714
(770) 960-5701
(770) 968-2701
Mailing address
6392 MURPHY DR, PO BOX 6, MORROW, GA 30260-1714
(770) 960-5701
(770) 968-2701
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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