NPI 1013672815

Centerwell Senior Primary Care Ga PC

Organisation Internal Medicine Physician Atlanta, GA

Practice location

Address: 2056 Donald Lee Hollowell Pkwy NW STE 1, Atlanta, GA 30318-4764
Phone: (470) 890-3910
Fax: (877) 445-5270
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Georgia →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Registry record

NPI: 1013672815
Entity type: Organization
NPI issued: 5 Nov 2021
Record last updated: 3 Jul 2024

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.