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Organization
PRODIGY HEALTH SYSTEMS INC.,
Active
Organization
PRODIGY HEALTH SYSTEMS INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR N ADIRI (PRESIDENT)
(770) 891-3346
Entity
Organization
Contact information
Practice address
2670 COBB PKWY NW, KENNESAW, GA 30152-3443
(770) 891-3346
(770) 514-9665
Mailing address
2670 COBB PKWY NW, KENNESAW, GA 30152-3443
(770) 891-3346
(770) 514-9665
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
033-32
GA
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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