Organization
SOUTH ATLANTA MEDICAL ASSOCIATES PC
Active
Parent organization
SOUTH ATLANTA MEDICAL ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ATLANTA MEDICAL ASSOCIATES PC
Authorized official
NICKY M BATTLE (MANAGER)
(404) 768-4626
Entity
Organization
Contact information
Practice address
1029 CLEVELAND AVE, EAST POINT, GA 30344-6719
(404) 768-4626
(404) 768-4631
Mailing address
1029 CLEVELAND AVE, EAST POINT, GA 30344-6719
(404) 768-4626
(404) 768-4631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035622
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00508483G
—
GA
Enumeration date
02/25/2008
Last updated
09/17/2015
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