Organization
JW MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. LOGAN ALLEN (PRACTICE MANAGER)
(678) 252-2137
Entity
Organization
Contact information
Practice address
2225 GODBY RD, COLLEGE PARK, GA 30349-5012
(404) 767-8274
(404) 768-8035
Mailing address
PO BOX 1016, SNELLVILLE, GA 30078-1016
(678) 252-2137
(678) 336-7099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G701302
MEDICARE GROUP NUMBER
GA
05
—
910871089B
—
GA
Enumeration date
03/02/2009
Last updated
11/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us