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Organization

CATALYST PHYSICAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L DORGAN (PRESIDENT)
(917) 881-9735
Entity
Organization

Contact information

Practice address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 833-7907
Mailing address
4914 ATLANTA HWY, ALPHARETTA, GA 30004-2921
(770) 833-7907

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
64776
GA

Other

Enumeration date
12/08/2012
Last updated
12/08/2012
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