Organization · NPI-2

1st Choice Telemedicine LLC

Family Medicine, Adult Medicine · Stockbridge, GA

NPI number1285193474
StatusActive
Last updated in NPPESMay 21, 2023

Details

NPI
1285193474
Entity type
Organization (NPI-2)
Legal business name
1st Choice Telemedicine LLC
Organization subpart
No
Enumeration date
Mar 18, 2019
Certification date
May 21, 2023
Last updated
May 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine––Yes

Practice location

1500 Rock Quarry Rd
Stockbridge, GA 30281-5047

Phone 678-722-5778

Mailing address

1500 Rock Quarry Rd
Stockbridge, GA 30281-5047

Phone 678-722-5778

Authorized official

Bennie Lee Brown
Ceo
2293951253

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