Organization
IMED NETWORK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE DEACON (DIRECTOR OF REVENUE CYCLE)
(631) 760-1546
Entity
Organization
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(631) 760-1546
Mailing address
PO BOX 1970, NEW YORK, NY 10156-1970
(212) 223-0716
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
03/05/2024
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