Organization
MDMEDICI
Active
Other names
MDMedici
Organization subpart
No
Provider details
NPI number
Authorized official
MBOH ELANGO MD (OWNER)
(678) 736-5248
Entity
Organization
Contact information
Practice address
1039 GRANT ST SE STE D12, ATLANTA, GA 30315-2014
(678) 736-5248
(407) 635-8971
Mailing address
1039 GRANT ST SE STE D12, ATLANTA, GA 30315-2014
(678) 736-5248
(407) 635-8971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
02/14/2023
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