Provider Demographics
NPI:1003374968
Name:WE CARE GENERAL MEDICAL CLINIC, LLC
Entity type:Organization
Organization Name:WE CARE GENERAL MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DZENETA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRNDZIJA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:678-447-1646
Mailing Address - Street 1:2980 SERENADE CT
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4962
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 COLONIAL PARK DR STE 103
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3773
Practice Address - Country:US
Practice Address - Phone:470-292-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENERAL MEDICAL CLINIC & CONSULTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-08
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty