Organization
CARE MEDICAL OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANDRA DAVIS PHILLIPS (MANAGEMENT)
(404) 468-5903
Entity
Organization
Contact information
Practice address
1572 HIGHWAY 85N, SUITE 505, FAYETTEVILLE, GA 30214-7729
(678) 228-2849
(678) 228-1636
Mailing address
1572 HIGHWAY 85N, SUITE 505, FAYETTEVILLE, GA 30214-7729
(678) 228-2849
(678) 228-1636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146697898A
—
GA
Enumeration date
08/16/2005
Last updated
06/02/2009
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