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Organization

RELYMD VIRTUAL HEALTH GA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization

Contact information

Practice address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(770) 874-5400
Mailing address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(770) 874-5400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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