Healthcare Provider Details

I. General information

NPI: 1881987196
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH CARE OF NORTH GEORGIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 NOAH DR SUITE 108
JASPER GA
30143-8705
US

IV. Provider business mailing address

744 NOAH DR SUITE 113#322
JASPER GA
30143-8705
US

V. Phone/Fax

Practice location:
  • Phone: 706-253-2828
  • Fax: 706-253-2829
Mailing address:
  • Phone: 706-253-2828
  • Fax: 706-253-2829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number026432
License Number StateGA

VIII. Authorized Official

Name: DR. JOHN AICHER
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 706-253-2828