Organization
MEDTHRU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA KAUFMAN (COO)
(732) 598-6460
Entity
Organization
Contact information
Practice address
6065 ROSWELL RD UPPR 150, SANDY SPRINGS, GA 30328-4034
(678) 642-7168
Mailing address
6065 ROSWELL RD UPPR 150, SANDY SPRINGS, GA 30328-4034
(732) 598-6460
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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