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Organization

TREKEN PRIMARY CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYLANCE FARNUM PA-C (PROVIDER)
(404) 305-0004
Entity
Organization

Contact information

Practice address
777 CLEVELAND AVE SW, ATLANTA, GA 30315-7129
(404) 305-0004
(404) 305-0494
Mailing address
777 CLEVELAND AVE SW, ATLANTA, GA 30315-7129
(404) 305-0004
(404) 305-0494

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
03/28/2018
Last updated
09/05/2019
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