Organization
MODERN EMERGENCY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA K HARDEN (PRACTICE ASSISTANT)
(229) 886-3424
Entity
Organization
Contact information
Practice address
5505 ROSWELL RD, SUITE 100, ATLANTA, GA 30342-1985
(229) 886-3424
Mailing address
4419 DUNMORE RD NE, MARIETTA, GA 30068-4224
(229) 886-3424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
GA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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