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General NPI Number Information
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NPI Number | 1477325470
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Entity Type | Organization
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Legal Business Name | GEORGIA TRUE CARE LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone | 951-533-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 2732 BRIGADOON DR
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City | CLAYTON
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State | NC
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Zip | 27520-9416
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Country | US
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Telephone | 623-738-8249
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELISSA PHILLIPS
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Credential |
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Telephone | 951-533-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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