Old National Primary Care Clinic, LLC
Old National Primary Care Clinic, LLC is an Internal Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5185 Old National HwyAtlanta, GA 30349-3244
Phone: (404) 763-9300
Fax: (404) 763-9306
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 · Licence 066254 (GA) |
|---|
Record details
| NPI number | 1376829028 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eva Beaulieu — Owner · (786) 556-0495 |
| NPI enumerated | October 26, 2011 |
| Last updated in NPPES | May 10, 2013 |
| Mailing address | 1065 Jodeco Rd, Stockbridge, GA 30281-4953 |
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