| Organization Name: | MERIDIAN CORPORATE HEALTHCARE OF GEORGIA PC |
| NPI Number: | 1750726360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROCHELLE A BROOME (NATIONAL MEDICAL DIRECTOR) |
| Mailing Address: | 255 Prosperity Way Ne Adairsville |
| State: | GA US |
| Postal Code: | 301034903 |
| Phone Number: | 7092919355 |
| Fax Number: | 7097289153 |
| NPI Enumeration Date: | 05/09/2013 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |