Organization · Type 2 NPI

Good Samaritan Health Center

Primary Care Clinic/Center · Norcross, GA

NPI number 1255831293 Active

Practice location

4864 Jimmy Carter Blvd
Norcross, GA 30093-3701

Call (678) 280-6630 Map

Mailing address

5949 Buford Hwy
Norcross, GA 30071-2472

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Michelle Chevalier, MD, MPHObstetrics & Gynecology Physician Norcross, GA NPI 1255865465

Other primary care clinic/center providers in Norcross

See all in Norcross →

NPI record

NPI: 1255831293
Entity type: Organization (Type 2)
Issued: Feb 16, 2018
Last updated: Feb 16, 2018
Status: Active
Subpart: Yes of Good Samaritan Health Center of Gwinnett

Other names

<unavail>
Bridge Atlanta Medical Center · former legal business name

Authorized official

Gregory Lang
Executive Director
(678) 280-6630

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255831293

Good Samaritan Health Center's National Provider Identifier is 1255831293, issued on Feb 16, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Norcross, GA. The record was last updated on Feb 16, 2018.