Organization
ATLANTA WELLNESS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE STEIN M.D. (DIRECTOR)
(404) 585-5455
Entity
Organization
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 650, ATLANTA, GA 30309-1476
(404) 585-5455
(404) 585-5104
Mailing address
PO BOX 54676, ATLANTA, GA 30308-0676
(404) 585-5455
(404) 585-5104
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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