# ATLANTA MEDICAL CLINIC OF MIDTOWN LLC

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

## Provider details

- **NPI number:** 1457130759
- **Authorized official:** TIMOTHY J DEMBOWSKI (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (404) 872-8837

## Contact information

- **Practice address:** 197 14TH ST NW STE 300B, ATLANTA, GA 30318-7815
- **Practice address phone:** (404) 872-8837
- **Mailing address:** 197 14TH ST NW STE 300B, ATLANTA, GA 30318-7815
- **Mailing address phone:** (404) 872-8837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 09/26/2023