Organization
MIDNIGHT ROSE, LLC
Active
Other names
AbbyCare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ABERNATHY (CHIEF OPERATIONS OFFICER)
(404) 835-0827
Entity
Organization
Contact information
Practice address
6380 BELLS FERRY RD STE 107, ACWORTH, GA 30102-5435
(404) 835-0827
Mailing address
6380 BELLS FERRY RD STE 107, ACWORTH, GA 30102-5435
(404) 835-0827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
12/03/2020
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