Organization
KPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MIRANDA (CEO)
(404) 819-5518
Entity
Organization
Contact information
Practice address
4113 BARRY PL, CHAMBLEE, GA 30341-1203
(404) 819-5518
Mailing address
4113 BARRY PL, CHAMBLEE, GA 30341-1203
(404) 819-5518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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