Centerwell Senior Primary Care Ga PC
Centerwell Senior Primary Care Ga PC is a Family Medicine Physician in South Fulton, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6085 Old National Hwy Ste GSouth Fulton, GA 30349-4333
Phone: (470) 754-6360
Fax: (877) 780-7359
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1801463468 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Centerwell Senior Primary Care Ga PC |
| Authorized official | Angie Martinez — Senior Credentialing Specialist · (407) 447-7120 |
| Other names | Centerwell Senior Primary Care-Old National |
| NPI enumerated | June 10, 2021 |
| Last updated in NPPES | July 3, 2024 |
| Certification date | July 3, 2024 |
| Mailing address | 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 |