Organization
INSULINIC GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND CHAKRAVARTHY MD (MEDICAL DIRECTOR)
(810) 814-0963
Entity
Organization
Contact information
Practice address
2068 WHEATON WAY, SANDY SPRINGS, GA 30328-4954
(810) 814-0963
Mailing address
2068 WHEATON WAY, SANDY SPRINGS, GA 30328-4954
(810) 814-0963
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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