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Atlas Healthcare And Rehab Holly Springs

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

NPI number1982933487
StatusActive
Last updated in NPPESJun 25, 2010

Details

NPI
1982933487
Entity type
Organization (NPI-2)
Legal business name
Atlas Healthcare And Rehab Holly Springs
Organization subpart
No
Enumeration date
Dec 11, 2009
Last updated
Jun 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary CareCHIR008064GAYes

Practice location

2945 Holly Springs Pkwy
Canton, GA 30115-7449

Phone 678-214-0100

Mailing address

2945 Holly Springs Pkwy
Canton, GA 30115-7449

Phone 678-214-0100 · Fax 678-214-0124

Authorized official

Thomas Hourin
President
6782140100

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