Organization
CAPITAL CITY MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BRODIE (BILLING SUPERVISOR)
(404) 267-5566
Entity
Organization
Contact information
Practice address
5700 HILLANDALE DR STE 150A, LITHONIA, GA 30058-4120
(404) 267-5566
(404) 267-5565
Mailing address
3286 BUCKEYE RD, ATLANTA, GA 30341-4228
(404) 267-5566
(404) 267-5565
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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