institution
Icare Clinic & Medspa Llc
Family Nurse Practitioner in Decatur, Georgia
NPI 1275124166

Icare Clinic & Medspa Llc is a Family Nurse Practitioner based in Decatur, GA and is specialized in Family. Icare Clinic & Medspa Llc practices in Decatur, GA. The NPI Number for Icare Clinic & Medspa Llc is 1275124166 and holds a License No. (Georgia).

The current practice location address for Icare Clinic & Medspa Llc is 4580 Memorial Dr, Decatur, GA and can be reached out via phone at 770-856-8988. You can also correspond with Icare Clinic & Medspa Llc through the mailing address at 4580 MEMORIAL DR, DECATUR, GA - 30032-1447 (mailing address contact number: 404-963-6861).

Location: 4580 Memorial Dr, Decatur, GA, 30032-1447
institution
Provider Profile Details
NPI Number
1275124166
Provider Name
Icare Clinic & Medspa Llc
Credential
Provider Entity Type
Organization
Address
4580 Memorial Dr, Decatur, GA, 30032-1447
Phone Number
770-856-8988
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003246181A 01 GA 003246181A
734119526R 05 GA
G006535258 01 GA PTAN
institution
Provider Business Practice Location Address Details
Address
4580 Memorial Dr
City
State
Zip
30032-1447
Phone Number
770-856-8988
Fax Number
person
Provider Business Mailing Address Details
Address
4580 Memorial Dr
City
State
Zip
30032-1447
Phone Number
770-856-8988
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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