Organization
CHBW MEDICAL &REHAB CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY E IDRIS (PARTNER)
(770) 256-7033
Entity
Organization
Contact information
Practice address
2636 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311-1634
(770) 256-7033
(678) 705-3717
Mailing address
2636 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311-1634
(770) 256-7033
(678) 705-3717
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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