Organization · Type 2 NPI
Physicans at Home, LLC
Primary Care Clinic/Center · Marietta, GA
NPI number
1952902835
Active
Practice location
1850 Blackwater Dr
Marietta, GA 30066-6712
Fax (866) 807-2926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1952902835
Physicans at Home, LLC's National Provider Identifier is 1952902835, issued on Nov 5, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Marietta, GA. The record was last updated on Dec 16, 2020.