REHOBOTH MIRACLE LLC
Managed Care Organizations at Shiver Blvd, Porterdale, GA

License number
Georgia 107 R 0894
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MRS. DEBRAH OLIVE ANN RAMSAY COLL CERT IND REL
Title: PRESIDENT
Phone: (678) 712-6073
Address
Address
140 Shiver Blvd, Porterdale, GA 30016
National Provider ID: 1245519511
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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