# MEDPRIME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Plus Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801175658
- **Authorized official:** MARK REZNIK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (404) 522-5552

## Contact information

- **Practice address:** 229 PEACHTREE ST, SUITE A-01, ATLANTA, GA 30303-1601
- **Practice address phone:** (404) 522-5552
- **Practice address fax:** (404) 522-5151
- **Mailing address:** PO BOX 501741, ATLANTA, GA 31150-1741
- **Mailing address phone:** (404) 522-5552
- **Mailing address fax:** (404) 522-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIRO07312 | GA | — |
| 208D00000X | General Practice Physician | 044023 | GA | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 08/10/2011