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Organization
DOWNTOWN ATLANTA MEDICAL CENTER, P.C.
Active
Organization
DOWNTOWN ATLANTA MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK D. MOSER M.D. (PRESIDENT)
(404) 419-2050
Entity
Organization
Contact information
Practice address
610 NORTHSIDE DR NW, STE. B, ATLANTA, GA 30318-6927
(404) 419-2050
Mailing address
610 NORTHSIDE DR NW, STE. B, ATLANTA, GA 30318-6927
(404) 419-2050
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23771
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
23771
GA
208VP0000X
Pain Medicine Physician
23771
GA
208VP0014X
Interventional Pain Medicine Physician
23771
GA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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