# PACT ATLANTA, LLC

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

## Provider details

- **NPI number:** 1114092202
- **Authorized official:** DR. TODD M ANTIN M.D. (CEO)
- **Authorized official phone:** (404) 292-3810

## Contact information

- **Practice address:** 465 WINN WAY STE 221, DECATUR, GA 30030-1723
- **Practice address phone:** (404) 292-3810
- **Practice address fax:** (404) 292-3848
- **Mailing address:** 465 WINN WAY STE 221, DECATUR, GA 30030-1723
- **Mailing address phone:** (404) 292-3810
- **Mailing address fax:** (404) 292-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036495 | GA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/22/2020