Organization
COMMUNITY PRIMARY CARE OF GEORGIA LLC
Active
Other names
Community Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KEMP (VICE PRESIDENT OF OPERATIONS)
(404) 401-0225
Entity
Organization
Contact information
Practice address
343 PLANTATION WAY, MACON, GA 31210-9286
(478) 405-9000
Mailing address
4080 MCGINNIS FERRY RD, SUITE 804, ALPHARETTA, GA 30005-3948
(404) 401-0225
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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