Organization
MERIDIAN EDUCATION RESOURCE GROUP, INC
Active
Other names
Whitefoord, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG JOHNSON TINDALL (CEO)
(404) 693-7565
Entity
Organization
Contact information
Practice address
35 WHITEFOORD AVE SE, ATLANTA, GA 30317-1727
(404) 588-0101
Mailing address
1353 GEORGE W BRUMLEY WAY SE, ATLANTA, GA 30317-1743
(404) 373-6614
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918809059A
—
GA
Enumeration date
02/19/2021
Last updated
08/28/2023
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