Organization · NPI-2

1stcare, LLC

Family Medicine · Stockbridge, GA

NPI number1972743813
StatusActive
Last updated in NPPESMar 5, 2009

Details

NPI
1972743813
Entity type
Organization (NPI-2)
Legal business name
1stcare, LLC
Organization subpart
No
Enumeration date
Mar 5, 2009
Last updated
Mar 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1365 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5029

Phone 770-692-5910 · Fax 770-692-5916

Mailing address

1365 Rock Quarry Rd
Suite 200
Stockbridge, GA 30281-5029

Phone 770-692-5910 · Fax 770-692-5916

Authorized official

William H Jackson
Principal
7706925910

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