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Organization

SHC MEDICAL PARTNERS OF GEORGIA, LLC

Active
Parent organization
SHC MEDICAL PARTNERS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHC MEDICAL PARTNERS, LLC
Authorized official
MRS. PENNY LOGAN (VP OF OPERATIONS)
(502) 558-2193
Entity
Organization

Contact information

Practice address
54 PEACHTREE PARK DR NE, ATLANTA, GA 30309-1304
(404) 351-6041
(404) 355-1092
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 558-2193
(502) 568-7136

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
535401780A
GA
Enumeration date
12/15/2008
Last updated
03/30/2023
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