Provider Demographics
NPI:1992348668
Name:GEORGIA ADVOCACY CARE
Entity type:Organization
Organization Name:GEORGIA ADVOCACY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AIBANGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-451-3341
Mailing Address - Street 1:5579 CHAMBLEE DUNWOODY RD STE B
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4100
Mailing Address - Country:US
Mailing Address - Phone:470-451-3341
Mailing Address - Fax:
Practice Address - Street 1:5579 CHAMBLEE DUNWOODY RD STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4100
Practice Address - Country:US
Practice Address - Phone:470-451-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care