NPI 1013058742

Activhealthcare, INC.

Organisation Preferred Provider Organization Tucker, GA

Practice location

Address: 1926 Northlake Pkwy STE 100, Tucker, GA 30084-7069
Phone: (770) 455-0040
Fax: (770) 455-6188

Authorised official

Name: Mark Brickhouse
Title: Executive Director
Phone: (770) 455-0040

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Georgia →

Registry record

NPI: 1013058742
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 15 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.