Organization
PARADIGM MEDICAL LLC
Active
Other names
Advanced Breast Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E BURAK JR. M.D. (DIRECTOR)
(770) 422-1988
Entity
Organization
Contact information
Practice address
790 CHURCH ST NE, SUITE 410, MARIETTA, GA 30060-7282
(770) 422-1988
(770) 874-0226
Mailing address
790 CHURCH ST NE, SUITE 410, MARIETTA, GA 30060-7282
(770) 422-1988
(770) 874-0226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
68527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128512A
—
GA
Enumeration date
12/18/2012
Last updated
12/19/2012
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