Caritas Medical Center Fayetteville LLC
Internal Medicine, Nephrology in Stockbridge, GA. Organization (NPI-2).
NPI number1801572003
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1801572003
- Entity type
- Organization (NPI-2)
- Legal business name
- Caritas Medical Center Fayetteville LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 23, 2023
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Caritas Medical Center LLC (Doing Business As)
Practice location
105 N Park Trl Ste 300Stockbridge, GA 30281-7432
Phone 678-284-0800 · Fax 678-284-9299
Mailing address
105 N Park Trl Ste 300Stockbridge, GA 30281-7432
Phone 678-284-0800 · Fax 678-284-9299
Authorized official
Veraline Ovadje
Office Manager
6782840800
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