Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Classicare Medical Consult PC, Inc

Organization Internal Medicine Physician · NPI 1922130012

Classicare Medical Consult PC, Inc is an Internal Medicine Physician in Douglasville, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4904 Timber Ridge Dr Ste 303
Douglasville, GA 30135-1831
Phone: (770) 489-5000
Fax: (770) 489-0305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6025 Professional Parkway, Douglasville, GA 30134-5610 — (770) 489-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 050465 (GA)

Record details

NPI number1922130012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xiangdong You — President · (770) 489-5000
Other names Classicare Internal Medicine
NPI enumeratedMarch 12, 2007
Last updated in NPPESSeptember 17, 2019
Mailing address4904 Timber Ridge Dr Ste 303, Douglasville, GA 30135-1831

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