Organization
IMED SURGICAL OF ATLANTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R MYERS (COMPLIANCE ADMINISTRATOR)
(631) 479-3496
Entity
Organization
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(404) 480-4886
Mailing address
113 E 39TH ST, NEW YORK, NY 10016-0968
(212) 223-0716
(917) 791-9672
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2025
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