# STR OF GEORGIA

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

## Provider details

- **NPI number:** 1750535571
- **Authorized official:** MARY MITCHELL (CEO)
- **Authorized official phone:** (404) 769-1235

## Contact information

- **Practice address:** 2566 SHALLOWFORD RD NE STE 104, ATLANTA, GA 30345-1200
- **Practice address phone:** (404) 769-1235
- **Mailing address:** 2566 SHALLOWFORD RD NE STE 104, ATLANTA, GA 30345-1200
- **Mailing address phone:** (404) 769-1235

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 11/06/2008