Organization
CONCIERGE MEDICAL MGMT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BONNER (PRESIDENT)
(678) 500-9568
Entity
Organization
Contact information
Practice address
760 OLD ROSWELL RD STE 117, ROSWELL, GA 30076
(800) 704-8875
(888) 816-7047
Mailing address
760 OLD ROSWELL RD STE 117, ROSWELL, GA 30076-8685
(800) 704-8875
(888) 840-1265
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
05/12/2018
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