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Advocacy Healthcare Adult Medicine

Internal Medicine in Stockbridge, GA. Organization (NPI-2).

NPI number1013307198
StatusActive
Last updated in NPPESJan 28, 2015

Details

NPI
1013307198
Entity type
Organization (NPI-2)
Legal business name
Advocacy Healthcare Adult Medicine
Organization subpart
No
Enumeration date
Jan 28, 2015
Last updated
Jan 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine54300GAYes

Practice location

175 Country Club Dr
Suite 100 D
Stockbridge, GA 30281-9054

Phone 615-430-7877

Mailing address

180 Eagle Way
Stockbridge, GA 30281-6410

Phone 615-430-7877

Authorized official

Henry Lee Mckay
Owner
6154307877

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