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Organization
VIBRANT FAMILY MEDICINE, P.C.
Active
Organization
VIBRANT FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD GOULD M.D. (DOCTOR/PRESIDENT)
(404) 396-1640
Entity
Organization
Contact information
Practice address
6667 VERNON WOODS DR STE A19, ATLANTA, GA 30328-3215
(404) 396-1640
Mailing address
4903 HEATHERDALE LN, ATLANTA, GA 30360-1615
(404) 396-1640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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