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Healing Oaks LLC

Clinic/Center, Primary Care in Canton, GA. Organization (NPI-2).

NPI number1649856493
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1649856493
Entity type
Organization (NPI-2)
Legal business name
Healing Oaks LLC
Organization subpart
No
Enumeration date
Mar 22, 2021
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

203 Oakside Ln Ste C
Canton, GA 30114-6407

Phone 770-604-1930 · Fax 770-604-1929

Mailing address

Po Box 5554
Canton, GA 30114-0290

Phone 770-378-0328 · Fax 770-604-1929

Authorized official

Sheryl B Vickery
Owner/Manager
7703780328

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