Organization
ATLANTA VANGUARD MEDICAL ASSOCIATES PC
Active
Organization
ATLANTA VANGUARD MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. MORRIS MD (OWNER)
(678) 305-1700
Entity
Organization
Contact information
Practice address
3692 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 305-1700
(678) 766-1744
Mailing address
3692 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 305-1700
(678) 766-1744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
GA
207RC0000X
Cardiovascular Disease Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129899A
—
GA
Enumeration date
10/01/2012
Last updated
01/25/2013
Update your record
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