Organization · Type 2 NPI
Careatc
Primary Care Clinic/Center · Ellenwood, GA
NPI number
1609427632
Active
Practice location
2720 E Clayton Dr
Ellenwood, GA 30294-3504
Mailing address
4500 S 129th East Ave Ste 191
Tulsa, OK 74134-5891
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
About NPI 1609427632
Careatc's National Provider Identifier is 1609427632, issued on Sep 20, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ellenwood, GA. The record was last updated on Sep 20, 2019.