Organization
PHYSICANS AT HOME, LLC
Active
Other names
Primary Care in Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASANT H DESAI (ADMIN)
(228) 596-2449
Entity
Organization
Contact information
Practice address
1850 BLACKWATER DR, MARIETTA, GA 30066-6712
(228) 596-2449
(866) 807-2926
Mailing address
1850 BLACKWATER DR, MARIETTA, GA 30066-6712
(404) 698-1500
(866) 807-2926
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
12/16/2020
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