Organization
ATLANTA MEN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA REEDER CCMA, CBCS (PRACTICE ADMINISTRATOR)
(470) 589-7120
Entity
Organization
Contact information
Practice address
4411 SUWANEE DAM RD STE 440, SUWANEE, GA 30024-8706
(470) 589-7140
(844) 350-6954
Mailing address
4411 SUWANEE DAM RD STE 440, SUWANEE, GA 30024-8706
(470) 589-7140
(844) 350-6954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255728994
NPI
GA
Enumeration date
07/10/2022
Last updated
04/24/2023
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