# MEDIMPROVE CLINICAL LLC

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

## Provider details

- **NPI number:** 1548072580
- **Authorized official:** JAN DE BACKER (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (646) 258-3174

## Contact information

- **Practice address:** 371 E PACES FERRY RD NE, ATLANTA, GA 30305-2372
- **Practice address phone:** (646) 285-3174
- **Mailing address:** 371 E PACES FERRY RD NE, ATLANTA, GA 30305-2372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025