Organization
FAITH HEALTH SERVICES OF GA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH HERMA VICKERIE R.N. (CEO)
(770) 598-8031
Entity
Organization
Contact information
Practice address
240 PROSPECT PL, ALPHARETTA, GA 30005-5454
(678) 624-1646
(770) 442-3320
Mailing address
240 PROSPECT PL, ALPHARETTA, GA 30005-5454
(678) 624-1646
(770) 442-3320
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696935G
—
GA
05
—
703485909A
—
GA
Enumeration date
12/28/2010
Last updated
12/28/2010
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