# EMPOWERING MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023864386
- **Authorized official:** EVANGELINE BESS (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (404) 852-1333

## Contact information

- **Practice address:** 1314 CHATTAHOOCHEE AVE NW \# C-1, ATLANTA, GA 30318-2829
- **Practice address phone:** (404) 852-1333
- **Practice address fax:** (678) 840-3887
- **Mailing address:** 3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
- **Mailing address phone:** (404) 852-1333
- **Mailing address fax:** (678) 840-3887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2024
- **Last updated:** 04/27/2024