Organization
MEDPRIME, LLC
Active
Other names
Wellness Plus Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK REZNIK (PRACTICE ADMINISTRATOR)
(770) 392-7160
Entity
Organization
Contact information
Practice address
3 RAVINIA DR, SUITE P-160, ATLANTA, GA 30346-2118
(770) 392-7160
(770) 392-7163
Mailing address
PO BOX 501741, ATLANTA, GA 31150-1741
(770) 392-7160
(770) 392-7163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO07312
GA
208D00000X
General Practice Physician
Primary
044023
GA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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