# LARUTAN MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669731121
- **Authorized official:** MS. MARIA DIONE BARNES (MANAGING PARTNER)
- **Authorized official phone:** (404) 419-6494

## Contact information

- **Practice address:** 340 BOULEVARD NE, SUITE 318, ATLANTA, GA 30312-1273
- **Practice address phone:** (404) 419-6494
- **Mailing address:** 340 BOULEVARD NE, SUITE 318, ATLANTA, GA 30312-1273
- **Mailing address phone:** (404) 419-6494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/03/2012