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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
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