Organization
ADVANCE HEALTH AND PERSONAL INJURY
Active
Other names
Riverdale Pain and Injury
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TATE (CREDENTIALING)
(770) 994-1250
Entity
Organization
Contact information
Practice address
6525 PROFESSIONAL PL, SUITE C, RIVERDALE, GA 30274-2519
(770) 994-1250
Mailing address
6525 PROFESSIONAL PL, RIVERDALE, GA 30274-2519
(770) 994-1250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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