Organization
FAMILY HEALTHCARE OF WEST GA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RENEE ROOKS (APRN)
(770) 214-8411
Entity
Organization
Contact information
Practice address
536 NEWNAN ST, CARROLLTON, GA 30117-3344
(770) 214-8411
(770) 214-8448
Mailing address
536 NEWNAN ST, CARROLLTON, GA 30117-3344
(770) 214-8411
(770) 214-8448
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN123329
GA
Other
Enumeration date
08/14/2007
Last updated
08/20/2007
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