Organization · Type 2 NPI
Bonserva Acute Primary Care Center
Primary Care Clinic/Center · Forest Park, GA
NPI number
1295966216
Active
Practice location
4940 Governors Dr Ste 209
Forest Park, GA 30297-2186
Fax (404) 366-8102
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
Other primary care clinic/center providers in Forest Park
About NPI 1295966216
Bonserva Acute Primary Care Center's National Provider Identifier is 1295966216, issued on Aug 7, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Forest Park, GA. The record was last updated on Aug 7, 2009.