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Contract Details
Occupational Health Centers of Georgia, P.C.
Facility name
Concentra Medical Center
Provider ID
P000002785
NPI
1801805338
Tax ID
582285009
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
AM_135
Location Details
Address
1905 Beaver Ruin Road Suite 175
Norcross, GA 30071
United States
County
Gwinnett
Phone
7704410444
(
Phone
)
Billing Details
Address
PO Box 82730
Hapeville, GA 30354
Billing Phone
8006860468
Specialty Type
Occupational Medicine Facility
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