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NPI Code Detail

MEDICARE: VIRTUAL HEALTH CENTER GEORGIA

MEDICARE: VIRTUAL HEALTH CENTER GEORGIA
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician

General Provider Information

NPI Number : 1578320180
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRTUAL HEALTH CENTER GEORGIA
Provider Business Mailing Address
First Line : 4651 CHARLOTTE PARK DR STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1150 POWDER SPRINGS ST STE 50
Second Line :
City : MARIETTA
State : GA
Zip : 30064-5287
Country : US
Telephone Number : 770-528-2441
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF RISK MANAGEMENT
Name : JILL JOHNSON PATTON
Credential :
Telephone Number : 704-936-5546
Provider Enumeration Date : 02/29/2024
Last Update Date : 02/29/2024

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Directions to “VIRTUAL HEALTH CENTER GEORGIA ” Practice Location

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