Organization
PMC LONG TERM CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIA KHAN MD (OWNER)
(770) 487-7807
Entity
Organization
Contact information
Practice address
190 GREENCASTLE RD # 2, TYRONE, GA 30290-2936
(770) 487-7807
(770) 487-7619
Mailing address
190 GREENCASTLE RD # 2, TYRONE, GA 30290-2936
(770) 487-7807
(770) 487-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
07/06/2020
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