Provider Demographics
NPI:1033241666
Name:FRIENDSHIP COMMUNITY HEALTHCARE INC
Entity Type:Organization
Organization Name:FRIENDSHIP COMMUNITY HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:404-607-1002
Mailing Address - Street 1:PO BOX 54186
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-0186
Mailing Address - Country:US
Mailing Address - Phone:404-607-1002
Mailing Address - Fax:404-697-1031
Practice Address - Street 1:430 CENTENNIAL OLYMPIC PARK DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30313-2203
Practice Address - Country:US
Practice Address - Phone:404-607-1002
Practice Address - Fax:404-607-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA81222207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty