Organization · Type 2 NPI

Correctiona Medical Associates

Clinic/Center · Fayetteville, GA

NPI number 1407017965 Active

Practice location

205 Mcintosh Place Dr
Fayetteville, GA 30214-7384

Call (770) 719-3319 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XRN113001 (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).

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About NPI 1407017965

Correctiona Medical Associates's National Provider Identifier is 1407017965, issued on Jun 18, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fayetteville, GA. The record was last updated on Jun 18, 2008.