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Organization

CAREHALO OHIO LLC

Active
Other names
CareHalo
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIKA GOINS (PRESIDENT)
(770) 364-2184
Entity
Organization

Contact information

Practice address
2510 DUPONT CIRCLE DR., SUITE 201, FORT WAYNE, IN 46825
(770) 364-2184
Mailing address
5200 DALLAS HWY STE 200-243, POWDER SPRINGS, GA 30127-6318
(770) 364-2184

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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