Contract Details
Occupational Health Centers of Georgia, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002779
NPI
1871502807
Tax ID
582285009
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
4223 Moreland Avenue
Conley, GA 30288
United States
County
DeKalb
Phone
4043662900 (Phone)
Billing Details
Address
PO Box 82730
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine Facility
Map
Address