Organization
THE GOOD SAMARITAN HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHESTER WARREN IV M.D. (CEO/FOUNDER/PRESIDENT)
(404) 523-6571
Entity
Organization
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
(404) 523-6574
Mailing address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
(404) 523-6574
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000249763E
—
GA
05
—
000282521D
—
GA
05
—
000915769A
—
GA
05
—
00635984B
—
GA
05
—
085002146G
—
GA
05
—
2238592338B
—
GA
Enumeration date
01/15/2008
Last updated
07/21/2022
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