Organization
MDVIP MEDICAL GROUP GA-ATL
Active
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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