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Organization

FORTITUDE MATTERS CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KWANA KING (MA/ OFFICE MANAGER)
(770) 635-8857
Entity
Organization

Contact information

Practice address
4760 AUSTELL RD STE 5, AUSTELL, GA 30106-2007
(770) 635-8857
(678) 903-8157
Mailing address
4760 AUSTELL RD STE 5, AUSTELL, GA 30106-2007
(770) 635-8857
(678) 903-8157

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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