PMC Long Term Care, LLC
Organization Active NPI Internal Medicine Physician · Tyrone, GA
NPI 1699396457 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1699396457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PMC LONG TERM CARE, LLC
- Practice address
- 190 Greencastle Rd # 2
Tyrone, GA 30290-2936 - Phone
- (770) 487-7807
- Fax
- (770) 487-7619
- NPI assigned
- May 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Zia Khan, MD
- Title
- Owner
- Phone
- (770) 487-7807
Practitioners 11
-
Charles A Bergstrom, M.D.
-
Joy Theresa Blumberg, NP-C
-
Sydney Anabel Colon, APRN-FNP
-
Mark Edward Couch, FNP-C
-
Syeda Maimuna Ali Khan, M.D.
-
Zia Khan, MD
-
Monique Jennifer Stage, FNP-BC
-
James T Tippett, MD
National Provider Directory
Locations
151 Wisdom Rd
Peachtree City, GA 30269
Phone (770) 487-7807
5470 Meridian Mark Rd
Bldg E
Sandy Springs, GA 30342
Phone (404) 256-5131
190 Greencastle Rd
Ste 2
Tyrone, GA 30290
190 Greencastle Rd
#2
Tyrone, GA 30290
Phone (770) 487-7807
7175 Lester Rd
Union City, GA 30291
Phone (770) 487-7807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
190 Greencastle Rd # 2
Tyrone, GA 30290-2936
Mailing address
190 Greencastle Rd # 2
Tyrone, GA 30290-2936
Phone (770) 487-7807
Other providers in Tyrone, GA
- Stacey Phillips
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- Pamela Elder Pinckney
- Samanatha Pinkston
- Marat V Plotkin
- Amy Poole
- Cally B Pospisil
- Kerstin Elizabeth Powell
- Precision Emergency Medical Services
- Precision Pharmaceuticals LLC
All providers in Tyrone, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.