Organization
UNICARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERNITTA COOPER (MEDICAL BILLER)
(470) 244-4644
Entity
Organization
Contact information
Practice address
4439 AUSTELL RD, AUSTELL, GA 30106-1839
(678) 677-9699
Mailing address
4439 AUSTELL RD, AUSTELL, GA 30106-1839
(678) 677-9699
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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