Organization
PCCB MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PINKESH BHUTA (OWNER)
(352) 672-1065
Entity
Organization
Contact information
Practice address
1860 CHAMDUN PL, CHAMBLEE, GA 30341-1767
(135) 267-2106
Mailing address
1860 CHAMDUN PL, CHAMBLEE, GA 30341-1767
(135) 267-2106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/25/2023
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