Healthcare Provider Details

I. General information

NPI: 1861559536
Provider Name (Legal Business Name): PROFESSIONAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HANNOVER PARK RD SUITE 200
ATLANTA GA
30350-7503
US

IV. Provider business mailing address

100 HANNOVER PARK RD SUITE 200
ATLANTA GA
30350-7503
US

V. Phone/Fax

Practice location:
  • Phone: 770-650-6507
  • Fax: 678-323-1644
Mailing address:
  • Phone: 770-650-6507
  • Fax: 678-323-1644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPHRE007907
License Number StateGA

VIII. Authorized Official

Name: MR. JOHN DOUGLAS FINDLAY SR.
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 770-650-6507