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11D2243433 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE - GREENBRIAR

Laboratory Demographics

CLIA Number: 11D2243433

Facility Name: CENTERWELL SENIOR PRIMARY CARE - GREENBRIAR

Facility Address:
3030 HEADLAND DRIVE, SW SUITE 600 ATTN CENTER ADMINISTRATOR
ATLANTA, GA
ZIP 30311
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Facility Phone Number: 470 832-5973

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1952978520

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D2243433
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE - GREENBRIAR
Street 3030 HEADLAND DRIVE, SW SUITE 600 ATTN CENTER ADMINISTRATOR
City ATLANTA
State GA
ZIP 30311
Phone 470 832-5973
CertificateType 4
CertificateEffectiveDate 11/18/2023
CertificateExpirationDate 11/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024