Organization
SPA1 CLINIC
Active
Other names
Buckeye Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA BADIE (CEO)
(678) 368-2398
Entity
Organization
Contact information
Practice address
901 MARTIN RD, STONE MOUNTAIN, GA 30088-2110
(678) 368-2398
Mailing address
901 MARTIN RD, STONE MOUNTAIN, GA 30088-2110
(678) 368-2398
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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