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Organization

ATLANTA DIABETES ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE WELSH BODE MD (PRESIDENT/OWNER)
(404) 355-4393
Entity
Organization

Contact information

Practice address
1800 HOWELL MILL RD NW, SUITE 450, ATLANTA, GA 30318-2538
(404) 355-4393
(404) 609-7622
Mailing address
1800 HOWELL MILL RD NW, SUITE 450, ATLANTA, GA 30318-2538
(404) 355-4393
(404) 609-7648

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CL5947
RAILROAD MEDICARE
GA
Enumeration date
05/11/2006
Last updated
06/19/2025
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