Organization · NPI-2

Occupational Health Centers Of Georgia PC

Clinic/Center, Health Services · Mableton, GA

NPI number1649551979
StatusActive
Last updated in NPPESAug 31, 2011

Details

NPI
1649551979
Entity type
Organization (NPI-2)
Legal business name
Occupational Health Centers Of Georgia PC
Organization subpart
No
Enumeration date
Aug 31, 2011
Last updated
Aug 31, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
261Q00000X Clinic/Center––

Other names

  • Concentra Medical Center (Doing Business As)

Practice location

1025 Veterans Memorial
Mableton, GA 30126

Phone 678-819-7860 · Fax 678-819-7900

Mailing address

5080 Spectrum Drive
Suite 1200 West
Addison, TX 75001

Authorized official

William Tom Fogarty
President
9723648000

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