Organization
PULSE FAMILY MEDICINE AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MCRAE (OWNER)
(470) 300-8721
Entity
Organization
Contact information
Practice address
2295 PARKLAKE DR NE STE 425, ATLANTA, GA 30345-2812
(470) 268-6178
Mailing address
2295 PARKLAKE DR NE STE 425, ATLANTA, GA 30345-2812
(470) 268-6178
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/19/2019
Last updated
01/23/2020
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