Organization · Type 2 NPI
Executive Medical Associates P.c.
Clinic/Center · Tucker, GA
NPI number
1104204379
Active
Practice location
4426 Hugh Howell Rd, Suite B303
Tucker, GA 30084-4918
Mailing address
59 Beams Way
Dallas, GA 30157-2517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | RN162951 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 other providers at this address
- Meadows Med Group IncFamily Medicine Physician Tucker, GA NPI 1003125881
- Premiere International Health Care Inc.General Practice Physician Tucker, GA NPI 1952591174
- Keisha Brown, MDChild & Adolescent Psychiatry Physician Tucker, GA NPI 1093938276
- Talmadge Lamont Christian, CSASurgical Assistant Tucker, GA NPI 1568553196
Other clinic/center providers in Tucker
About NPI 1104204379
Executive Medical Associates P.c.'s National Provider Identifier is 1104204379, issued on May 8, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tucker, GA. The record was last updated on May 8, 2015.