Organization
WEST END MEDICAL CENTERS AT ALLEN ROAD
Active
Parent organization
WEST END MEDICAL CENTERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST END MEDICAL CENTERS, INC
Authorized official
DR. MICHAEL W BROOKS MD (SR. VP & COO)
(404) 752-1400
Entity
Organization
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Mailing address
144 ALLEN RD NE, ATLANTA, GA 30328-4861
(404) 752-1400
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437478L
—
GA
Enumeration date
06/11/2008
Last updated
06/19/2008
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