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NPI Code Detail

MEDICARE: PREFERRED HEALTHCARE LLC

MEDICARE: PREFERRED HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse

General Provider Information

NPI Number : 1639884117
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED HEALTHCARE LLC
Provider Business Mailing Address
First Line : 3851 POSTAL DR STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-5712
Country : US
Telephone Number : 404-919-5708
Fax Number : 833-931-0343
Provider Business Practice Location Address
First Line : 3851 POSTAL DR STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-5712
Country : US
Telephone Number : 404-919-5708
Fax Number : 833-931-0343
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : JAFFER ALI
Credential :
Telephone Number : 404-919-5708
Provider Enumeration Date : 01/18/2023
Last Update Date : 03/13/2026

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Directions to “PREFERRED HEALTHCARE LLC ” Practice Location

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