Organization
PACT ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD M ANTIN M.D. (CEO)
(404) 292-3810
Entity
Organization
Contact information
Practice address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(404) 292-3810
(404) 292-3848
Mailing address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(404) 292-3810
(404) 292-3848
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036495
GA
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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