Organization
MEGAREGIONSHEALTHCARESERVICES
Active
Other names
MEGAREGIIONSHEALTHCARESERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY SIMPSON CERTIFIED SHOEFITTER (CERTIFIED SHOEFITTER)
(770) 487-8766
Entity
Organization
Contact information
Practice address
115 LLOYD AVE, SUITE 105, TYRONE, GA 30290-2126
(770) 487-8766
Mailing address
230 PERRY CREEK DR, FAYETTEVILLE, GA 30215-2009
(678) 817-1096
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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