Organization
MEDICODE BILLING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA MAXWELL (MEDICAL BILLER)
(678) 913-5154
Entity
Organization
Contact information
Practice address
3307 SUMMIT LAKE DRIVE, STONE MOUNTAIN, GA 30083-3351
(678) 913-5154
Mailing address
3307 SUMMIT LAKE DR, STONE MOUNTAIN, GA 30083-6959
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
04/17/2015
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