MEDICARE: QUALITY CARE & ADVOCACY GROUP, INC.

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
1	251S00000X	Community/Behavioral Health Agency		NC

General Provider Information

NPI Number	:	1750436663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE & ADVOCACY GROUP, INC.

Provider Business Mailing Address
First Line	:	863 FLAT SHOALS RD SE # C181
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-6633
Country	:	US
Telephone Number	:	910-476-2941
Fax Number	:	910-483-5331

Provider Business Practice Location Address
First Line	:	4286 MEMORIAL DR STE A
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-1221
Country	:	US
Telephone Number	:	910-476-2941
Fax Number	:	404-600-4878

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	SANDRA CAMPBELL TAYLOR
Credential	:
Telephone Number	:	910-476-2941

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/17/2015

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