Organization · NPI-2
Family Care Centers Trust
Family Medicine, Adult Medicine · Lithonia, GA
NPI number1356460448
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1356460448
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Care Centers Trust
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
Other names
- Stonecrest Immediate Care (Doing Business As)
Practice location
5910 Hillandale DrSuite 103
Lithonia, GA 30058-1884
Phone 404-501-4272
Mailing address
Po Box 1024450Atlanta, GA 30368-0001
Phone 404-501-4272
Authorized official
Amin Bhatia
Business Manager
4045014272
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