Organization
AB CENTER GROUP CORP LLC
Active
Organization
AB CENTER GROUP CORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDO BRITO (CEO)
(770) 256-4421
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE, SUITE 322A, MARIETTA, GA 30067-8613
(770) 256-4421
Mailing address
2470 WINDY HILL RD SE, SUITE 322A, MARIETTA, GA 30067-8613
(770) 256-4421
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME35733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14102904
COMM INS
GA
Enumeration date
11/05/2014
Last updated
11/05/2014
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