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Organization
CATALYST PHYSICAL MEDICINE LLC
Active
Organization
CATALYST PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L DORGAN (PRESIDENT)
(917) 881-9735
Entity
Organization
Contact information
Practice address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 833-7907
Mailing address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 833-7907
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
64776
GA
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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