# WITHINME MD, ATLANTA

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

## Provider details

- **NPI number:** 1972929685
- **Authorized official:** DERRON SIMON MD (CHIEF MEDICAL DIRECTOR)
- **Authorized official phone:** (804) 441-5040

## Contact information

- **Practice address:** 604 GLEN IRIS DR NE, ATLANTA, GA 30308-2717
- **Practice address phone:** (404) 464-8169
- **Practice address fax:** (404) 921-9577
- **Mailing address:** 604 GLEN IRIS DR NE, 5275 LEE HIGHWAY \#201, ARLINGTON, VIRGINIA 22207, ATLANTA, GA 30308-2717
- **Mailing address phone:** (404) 464-8169
- **Mailing address fax:** (404) 921-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1366405037 | GA | Yes |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 03/06/2014