# CIRCADIA MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1124309893
- **Authorized official:** MR. JEFFREY SCOTT SANDERS (PRESIDENT/CEO)
- **Authorized official phone:** (770) 377-6539

## Contact information

- **Practice address:** 4360 CHAMBLEE DUNWOODY RD, STE 515, ATLANTA, GA 30341-1049
- **Practice address phone:** (770) 457-7812
- **Practice address fax:** (770) 457-7649
- **Mailing address:** P O BOX 4048, MACON, GA 31208-4048
- **Mailing address phone:** (770) 457-7812
- **Mailing address fax:** (770) 457-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2011
- **Last updated:** 11/22/2011