Organization Name: | OCCUPATIONAL HEALTH CENTERS OF GEORGIA PC |
NPI Number: | 1215373923 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ANDERSON (SENIOR VP/CHIEF OFFICER) |
Mailing Address: | 10820 Abbotts Bridge Rd Suite 3000 Johns Creek |
State: | GA US |
Postal Code: | 300975793 |
Phone Number: | 7704410444 |
Fax Number: | 2147754502 |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |