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Organization

MDVIP MEDICAL GROUP GA-ATL

Active
Parent organization
MDVIP MEDICAL GROUP HOLDINGS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MDVIP MEDICAL GROUP HOLDINGS, LLC
Authorized official
ANDREA KLEMES DO (CHIEF MEDICAL OFFICER)
(561) 982-4300
Entity
Organization

Contact information

Practice address
1800 HOWELL MILL RD NW STE 525, ATLANTA, GA 30318-2538
(404) 537-8081
(404) 367-3085
Mailing address
1800 HOWELL MILL RD NW STE 525, ATLANTA, GA 30318-3188
(404) 537-8081
(404) 367-3085

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/25/2017
Last updated
03/21/2023
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