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Organization
CHAMBLEE MEDICAL CLINIC
Active
Organization
CHAMBLEE MEDICAL CLINIC
Active
Other names
SOREN S THOMAS MD
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN THOMAS (OWNER)
(770) 458-0025
Entity
Organization
Contact information
Practice address
3739 CHAMBLEE DUNWOODY RD, CHAMBLEE, GA 30341-2062
(770) 458-0025
(770) 458-0807
Mailing address
PO BOX 80042, ATLANTA, GA 30366-0042
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
026895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154284
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/22/2006
Last updated
02/25/2008
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