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Contact Information

CENTERWELL SENIOR PRIMARY CARE GA PC
6435 BELLS FERRY RD # 110
WOODSTOCK, GA30189-2317
 Phone: 678-941-6244
 Fax: 770-545-6597
 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 Number 1689491680
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2024
Last updated 12/17/2024 - 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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