Organization
EXTREME MEDICAL GROUP, INC.
Active
Organization
EXTREME MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIDIER GUTIERREZ (PRESIDENT)
(678) 237-6363
Entity
Organization
Contact information
Practice address
2484 BRIARCLIFF RD NE, SUITE 22-353, ATLANTA, GA 30329-3011
(678) 237-6363
Mailing address
2484 BRIARCLIFF RD NE, SUITE 22-353, ATLANTA, GA 30329-3011
(678) 237-6363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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