Organization
WEST END MEDICAL CENTERS, THE FAMILY HEALTH CENTER @ BOLTON VILLAGE
Active
Parent organization
WEST END MEDICAL CENTERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST END MEDICAL CENTERS, INC
Authorized official
DR. MICHAEL W BROOKS MD (CHIEF OPERTAING OFFICER)
(404) 752-1400
Entity
Organization
Contact information
Practice address
2011 BOLTON RD NW, SUITE 104, ATLANTA, GA 30318-1137
(404) 752-1400
(404) 756-8749
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
(404) 756-8749
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NON PROFIT EXEMPT
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437478D
—
GA
Enumeration date
08/14/2006
Last updated
02/08/2010
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