# ATLANTA FAMILY MEDICINE & MED SPA LLC

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

## Provider details

- **NPI number:** 1407672546
- **Authorized official:** AMINAH PHELPS MD (DOCTOR)
- **Authorized official phone:** (404) 277-1195

## Contact information

- **Practice address:** 3915 CASCADE RD SW STE 260, ATLANTA, GA 30331-8522
- **Practice address phone:** (404) 277-1195
- **Mailing address:** 3915 CASCADE RD SW STE 260, ATLANTA, GA 30331-8522
- **Mailing address phone:** (404) 277-1195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 11/22/2024