Organization
JEFFREY H. FLATOW, M.D., LLC
Active
Organization
JEFFREY H. FLATOW, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY H FLATOW MD (OWNER)
(678) 985-9030
Entity
Organization
Contact information
Practice address
5435 SUGARLOAF PKWY, SUITE 1104, LAWRENCEVILLE, GA 30043-7831
(678) 985-9030
(678) 985-9485
Mailing address
5435 SUGARLOAF PKWY, SUITE 1104, LAWRENCEVILLE, GA 30043-7831
(678) 985-9030
(678) 985-9485
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
028543
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00384777B
—
GA
Enumeration date
03/01/2012
Last updated
03/01/2012
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