Contract Details
Occupational Health Centers of Georgia, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002780
NPI
1033128608
Tax ID
582285009
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/7/2012
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
1157 West Avenue Suite B
Conyers, GA 30012
United States
County
Rockdale
Phone
7707600066 (Phone)
Billing Details
Address
PO Box 82730
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine Facility
Map
Address