Organization
ATLANTA MEDICAL ARTS AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICE YVETTE MARSHALL M.D. (OWNER)
(770) 801-0980
Entity
Organization
Contact information
Practice address
1800 WATER PL SE STE 100, ATLANTA, GA 30339-2041
(770) 801-0980
(770) 801-9039
Mailing address
5055 BRER RABBIT RD, STONE MOUNTAIN, GA 30083-1858
(770) 801-0980
(770) 801-9039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048274
GA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
048274
GA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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