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Organization
FACE ATLANTA
Active
Organization
FACE ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA HUTCHINSON MD (OWNER)
(404) 993-1320
Entity
Organization
Contact information
Practice address
2285 ASQUITH AVE SW STE 200, MARIETTA, GA 30008-6092
(404) 401-5791
Mailing address
5559 GLENRIDGE DR APT 1109, ATLANTA, GA 30342-7202
(404) 993-1320
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/13/2024
Last updated
11/08/2024
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