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Organization

GEORGIA THERAPEUTIC INTERVENTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH CAUDLE (CREDENTIALING)
(256) 849-0444
Entity
Organization

Contact information

Practice address
936 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3382
(205) 821-3583
Mailing address
936 ADAMS LAKE BLVD SE, ATLANTA, GA 30339-3382
(205) 821-3583

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
01/21/2020
Last updated
01/21/2020
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