Organization
MIDWAY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L DORGAN (TREASURER)
(770) 667-0099
Entity
Organization
Contact information
Practice address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 667-0099
(770) 667-0092
Mailing address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 667-0099
(770) 667-0092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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