Provider Demographics
NPI:1093989659
Name:CARE PHYSICIANS GEORGIA, P.C.
Entity Type:Organization
Organization Name:CARE PHYSICIANS GEORGIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-389-7362
Mailing Address - Street 1:6160 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE A100
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4578
Mailing Address - Country:US
Mailing Address - Phone:770-391-4274
Mailing Address - Fax:404-705-0760
Practice Address - Street 1:6160 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE A100
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4578
Practice Address - Country:US
Practice Address - Phone:770-391-4274
Practice Address - Fax:404-705-0760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty