Health-E LLC
Family Medicine in Tucker, GA. Organization (NPI-2).
NPI number1982170817
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1982170817
- Entity type
- Organization (NPI-2)
- Legal business name
- Health-E LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2018
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Health-E Medical Center (Doing Business As)
Practice location
1462 Montreal Rd Ste 305Tucker, GA 30084-6924
Phone 704-264-6041
Mailing address
1466 Country Squire DrDecatur, GA 30033-2414
Phone 770-680-2949 · Fax 770-504-6045
Authorized official
Akita Evans
Medical Director
7042646041
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