Organization
M & M SERVICE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL DE JESUS MIRANDA (PRESIDENT)
(678) 296-5945
Entity
Organization
Contact information
Practice address
4355 COBB PKWY, SUITE J 557, ATLANTA, GA 30339-3887
(678) 296-5945
Mailing address
4355 COBB PKWY, SUITE J 557, ATLANTA, GA 30339-3887
(678) 296-5945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
09/30/2009
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