Organization
CIRCADIA MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCOTT SANDERS (PRESIDENT/CEO)
(770) 377-6539
Entity
Organization
Contact information
Practice address
4360 CHAMBLEE DUNWOODY RD, STE 515, ATLANTA, GA 30341-1049
(770) 457-7812
(770) 457-7649
Mailing address
P O BOX 4048, MACON, GA 31208-4048
(770) 457-7812
(770) 457-7649
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
11/22/2011
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