# THEADVANCEDMED LLC

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

## Provider details

- **NPI number:** 1548028012
- **Authorized official:** DR. ONYEBUCHI NWAOKOLO DNP (CEO)
- **Authorized official phone:** (404) 706-6371

## Contact information

- **Practice address:** 1505 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9114
- **Practice address phone:** (404) 706-6371
- **Mailing address:** 1012 SPANIEL TER, HAMPTON, GA 30228-5951
- **Mailing address phone:** (404) 218-8934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024