National Provider Identifier Database

MEDICAL CARE OF GEORGIA PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MEDICAL CARE OF GEORGIA, P.C.
50 MEDICAL LN
CANTON, GA30114-2417
Phone: 770-345-2300
Fax: 770-345-2330
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for MEDICAL CARE OF GEORGIA, P.C.

NPI Number 1124297163
Legal business name
LBN
MEDICAL CARE OF GEORGIA, P.C.
Authorized official ALEXANDER TKESHELASHVILI KESSLER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/25/2008
Last updated 11/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 050647
  • GA Medicaid: 000958009B

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.

Reviews for MEDICAL CARE OF GEORGIA, P.C.

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