Organization
BLISS PRIMARY AND URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILES JOHNSON MD (AUTHORIZED OFFICIAL)
(404) 664-4578
Entity
Organization
Contact information
Practice address
4600 E PONCE DE LEON AVE STE A, CLARKSTON, GA 30021-1839
(404) 808-2125
(877) 779-5837
Mailing address
4600 E PONCE DE LEON AVE STE A, CLARKSTON, GA 30021-1839
(404) 808-2125
(877) 779-5837
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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