COMMUNITY CARE MD
Ambulatory Health at Lavista Rd, Tucker, GA

License number
Georgia 156221
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MRS. JANE A LING
Title: DIRECTOR OF OP
Phone: (678) 720-0422
Address
Address
5019 Lavista Rd, Tucker, GA 30084
National Provider ID: 1730221649
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY CARE MD at bizstanding.com

COMMUNITY CARE, MD, PC

Tucker, GA  -  Norcross, GA

Industry:
Medical Doctor's Office
Doing business as:
Community Care MD
Registration:
Apr 7, 2003
Phone:
(678) 720-0422 (Phone)
Addresses:
5019 Lavista Rd, Tucker, GA 30084 (Physical)
4775 Jimmy Carter Blvd, Norcross, GA 30093
State ID:
0320560
Business type:
Domestic Professional Corporation
Managers:
V Rudulph Tacoronti (Secretary), 5019 Laviste Rd, Tucker, GA 30084 (Physical),Daniel M. Greenberg (Occupational Therapy Director),Rudolph Tacoronti (Medical Doctor, Occupational Therapy Director, Secretary),...
SIC6:
801100 - Medical doctor's office
Company size:
22

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