Organization
MEDIMPROVE CLINICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DE BACKER (CHIEF ADMINISTRATIVE OFFICER)
(646) 258-3174
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE, ATLANTA, GA 30305-2372
(646) 285-3174
Mailing address
371 E PACES FERRY RD NE, ATLANTA, GA 30305-2372
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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