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Organization
ADVANCE HEALTH AND PERSONAL INJURY
Active
Organization
ADVANCE HEALTH AND PERSONAL INJURY
Active
Other names
Riverdale Pain and Injury
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TATE (CREDENTIALING)
(770) 994-1250
Entity
Organization
Contact information
Practice address
6525 PROFESSIONAL PL, SUITE C, RIVERDALE, GA 30274-2519
(770) 994-1250
Mailing address
6525 PROFESSIONAL PL, RIVERDALE, GA 30274-2519
(770) 994-1250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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