Organization
LAKEWOOD HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R KATKOWSKY MD (HEALTH DIRECTOR)
(404) 730-1202
Entity
Organization
Contact information
Practice address
1855 JONESBORO ROAD SE, ATLANTA, GA 30315
(404) 624-0626
(404) 624-0636
Mailing address
99 JESSE HILL JR DRIVE RM 402, ATLANTA, GA 30303
(404) 730-1217
(404) 730-1233
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000518843
—
GA
Enumeration date
01/08/2007
Last updated
08/22/2020
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