Community Care Md in Tucker - Clinic/center
Community Care Md - NPI 1730221649
Community Care Md is a Clinic/center in Tucker, Georgia. Community Care Md practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Community Care Md is 1730221649. The last update date is 2020-08-22.
Community Care Md's current location address is 5019 Lavista Rd, Tucker, Georgia. You can contact this provider via phone number 6787200422 and fax number 6787200440. The mailing address for Community Care Md is 5019 Lavista Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Md |
|---|---|
| Address | 5019 Lavista Rd, Tucker, Georgia |
| Phone Number | 6787200422 |
| Fax Number | 6787200440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Ling A Jane |
| Telephone Number | 6787200422 |
NPI Number Detail
| NPI Number | 1730221649 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5019 Lavista Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300843541 |
| Phone Number | 6787200422 |
| Fax Number | 6787200440 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 156221 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique identifier code issued to Community Care Md by the Centers for Medicare & Medicaid Services (CMS)?
The Community Care Md has been assigned the NPI (National Provider Identifier) 1730221649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Community Care Md is located?
The Community Care Md is situated at the following address: 5019 Lavista Rd, Tucker, GA, 300843541.
What is Community Care Md's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Care Md's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730221649 to Community Care Md?
The Centers for Medicare & Medicaid Services originally issued the 1730221649 to Community Care Md on 2007-02-14.
As of what date were the details pertaining to Community Care Md last refreshed?
The information related to the Community Care Md, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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