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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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