Healthcare Provider Details

I. General information

NPI: 1477111953
Provider Name (Legal Business Name): HEALTHCARE ADVOCATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2899 TEJAS TRL SW
ATLANTA GA
30331-2811
US

IV. Provider business mailing address

5288 BROOKSHIRE CT
DOUGLASVILLE GA
30135-5365
US

V. Phone/Fax

Practice location:
  • Phone: 404-530-9332
  • Fax: 877-570-2212
Mailing address:
  • Phone: 404-530-9332
  • Fax: 877-570-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA DONIA POPE
Title or Position: CHIEF OPERATING OFFICER
Credential: REGISTERED NURSE
Phone: 404-530-9332