Organization
SACRED HEART MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN THEODORE VON HACK-PRESTINARY MD (MEDICAL DIRECTOR)
(678) 530-0877
Entity
Organization
Contact information
Practice address
3146 CHAMBLEE DUNWOODY RD STE 103, CHAMBLEE, GA 30341-2967
(678) 530-0877
(678) 530-0700
Mailing address
3146 CHAMBLEE DUNWOODY RD STE 103, CHAMBLEE, GA 30341-2967
(678) 530-0877
(678) 530-0700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
39501
GA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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