# LANDMARK MEDICAL OF TENNESSEE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841914090
- **Authorized official:** MICHAEL HUY LE MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (657) 400-5180

## Contact information

- **Practice address:** 1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
- **Practice address phone:** (657) 400-5180
- **Mailing address:** 7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2022
- **Last updated:** 09/30/2022