# ATLANTA LIFESTYLE MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Lifestyle Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609194620
- **Authorized official:** DR. JENNIFER ROOKE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (404) 769-3928

## Contact information

- **Practice address:** 131 PONCE DE LEON AVE NE, SUITE 230, ATLANTA, GA 30308-1962
- **Practice address phone:** (404) 769-3928
- **Mailing address:** 6090 INDIAN WOOD CIR SE, MABLETON, GA 30126-2969
- **Mailing address phone:** (404) 691-4549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 033801 | GA | Yes |

## Other

- **Enumeration date:** 05/14/2010
- **Last updated:** 05/14/2010
