Organization
ATLANTA MEDICAL ARTS AND WELLNESS, LLC
Active
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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