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Contact Information

CENTERWELL SENIOR PRIMARY CARE GA PC
1821 MOUNT ZION RD
MORROW, GA30260-3015
 Phone: 470-754-6380
 Fax: 877-874-7522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CENTERWELL SENIOR PRIMARY CARE GA PC · (Female)

NPI # 1669049227
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2021
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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