Organization
MEDCARE PHYAICIANS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L FERNANDEZ M.D. (CEO)
(678) 479-4291
Entity
Organization
Contact information
Practice address
2004 MCDONOUGH RD, SUITE 100, HAMPTON, GA 30228-3259
(678) 479-4291
(678) 479-4295
Mailing address
1065 JODECO RD, STOCKBRIDGE, GA 30281-4953
(678) 284-6300
(678) 284-6336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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