PRIMACARE PAIN & REHAB.,LLC
Ambulatory Health at Glenwood Rd, Decatur, GA

License number
Georgia 019313
Category
Ambulatory Health
Type
Pain
Owner
Name: MR. KHAMIS W IBRAHIM D.C.
Title: CLINIC DIRECTOR
Phone: (404) 284-5556
Address
Address
4467 Glenwood Rd SUITE 2, Decatur, GA 30032
National Provider ID: 1043537905
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRIMACARE PAIN & REHAB.,LLC at bizstanding.com

PRIMACARE PAIN & REHAB, LLC

4484 Covington Hwy SUITE 103, Decatur, GA 30035

Registration:
Mar 12, 2010
State ID:
10019149
Business type:
Domestic Limited Liability Company
Agent:
Khamis Ibrahim,4484 Covington Hwy SUITE 103, Decatur, GA (Physical)

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