Organization
ATLANTA HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WOFFORD (DIRECTOR)
(470) 747-8400
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE STE 404, MARIETTA, GA 30067-8658
(470) 747-8400
Mailing address
PO BOX 1047, ACWORTH, GA 30101-8947
(770) 547-5190
(770) 547-5190
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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