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Organization
GEORGIA THERAPEUTIC INTERVENTIONS
Active
Organization
GEORGIA THERAPEUTIC INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CAUDLE (CREDENTIALING)
(256) 849-0444
Entity
Organization
Contact information
Practice address
936 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3382
(205) 821-3583
Mailing address
936 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3382
(205) 821-3583
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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