Organization
CAMP CREEK PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA B. GREEN-CLOPTON JD (CFO/ BUSINESS MANAGER)
(404) 349-2273
Entity
Organization
Contact information
Practice address
3890 REDWINE RD SW, SUITE 100, ATLANTA, GA 30331-5509
(404) 349-2273
(404) 349-1511
Mailing address
PO BOX 90237, EAST POINT, GA 30364-0237
(404) 349-2273
(404) 349-1511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043019
GA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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