Organization
BUSINESS & TECHNOLOGY OUTREACH CORPORATION
Active
Other names
Georgia Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA FITZGERALD (CEO)
(770) 961-1997
Entity
Organization
Contact information
Practice address
409 ARROWHEAD BLVD STE C1&C2, JONESBORO, GA 30236-1255
(770) 961-1997
Mailing address
PO BOX 870006, MORROW, GA 30287-0006
(770) 961-1997
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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