# BJ MED CLINIC LLC

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

## Provider details

- **NPI number:** 1073925970
- **Authorized official:** SARA BADIE (ADMINSTRATOR)
- **Authorized official phone:** (678) 395-5035

## Contact information

- **Practice address:** 340 BOULEVARD NE STE 318, ATLANTA, GA 30312-1283
- **Practice address phone:** (678) 695-5035
- **Mailing address:** 340 BOULEVARD NE STE 318, ATLANTA, GA 30312-1283
- **Mailing address phone:** (678) 695-5035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | NULL | Yes |
| 173000000X | Legal Medicine | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2014
- **Last updated:** 05/27/2014