Organization
MY DOCRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MO SWEENEY (OWNER)
(678) 677-7367
Entity
Organization
Contact information
Practice address
303 PERIMETER CTR N, SUITE 300, ATLANTA, GA 30346-3402
(678) 677-7367
Mailing address
6025 SANDY SPRINGS CIR NE, SUITE 326, ATLANTA, GA 30328-3863
(678) 677-7367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
NA
GA
207K00000X
Allergy & Immunology Physician
Primary
NA
GA
261QM2500X
Medical Specialty Clinic/Center
NA
GA
261QP2300X
Primary Care Clinic/Center
NA
GA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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