Organization
CLEARVUE CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHAN TUCKER (CHIEF EXECUTIVE OFFICER)
(404) 966-9079
Entity
Organization
Contact information
Practice address
3175 CHEROKEE ST NW, KENNESAW, GA 30144-2829
(404) 966-9079
Mailing address
3175 CHEROKEE ST NW, KENNESAW, GA 30144-2829
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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