Provider Demographics
NPI:1962477190
Name:FIRST MEDICAL CARE INC
Entity type:Organization
Organization Name:FIRST MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO FIRST MEDICAL CARE INC
Authorized Official - Prefix:DR
Authorized Official - First Name:GULSHAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARJEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-934-6832
Mailing Address - Street 1:2536 LAWRENCEVILL HWY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033
Mailing Address - Country:US
Mailing Address - Phone:770-934-6832
Mailing Address - Fax:770-938-0837
Practice Address - Street 1:2536 LAWRENCEVILL HWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033
Practice Address - Country:US
Practice Address - Phone:770-934-6832
Practice Address - Fax:770-938-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026865207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00345463BMedicaid
257315118GMedicare ID - Type Unspecified
D40061Medicare UPIN