MEDICARE: PRECISION HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1871811588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION HEALTHCARE

Provider Business Mailing Address
First Line	:	1000 PTREE IND BLVD
Second Line	:	#6-306
City	:	SUWANEE
State	:	GA
Zip	:	30024-6737
Country	:	US
Telephone Number	:	678-541-0777
Fax Number	:	678-541-0780

Provider Business Practice Location Address
First Line	:	245 PTREE IND BLVD
Second Line	:	SUITE 100
City	:	SUGAR HILL
State	:	GA
Zip	:	30518-9126
Country	:	US
Telephone Number	:	678-541-0777
Fax Number	:	678-541-0780

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. KATIE ANNE RODRIGUEZ
Credential	:
Telephone Number	:	678-541-0777

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	05/06/2010

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Directions to “PRECISION HEALTHCARE ” Practice Location

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