Organization · Type 2 NPI
Community Care MD
Clinic/Center · Tucker, GA
NPI number
1730221649
Active
Practice location
5019 Lavista Rd
Tucker, GA 30084-3541
Fax (678) 720-0440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 156221 (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).
2 other providers at this address
Other clinic/center providers in Tucker
About NPI 1730221649
Community Care MD's National Provider Identifier is 1730221649, issued on Feb 14, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tucker, GA. The record was last updated on Aug 22, 2020.