Organization
ALAMO HEALTH GROUP, LLC
Active
Other names
TeleMD Virtual Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK REZNIK (CLINIC ADMINISTRATOR)
(770) 652-3667
Entity
Organization
Contact information
Practice address
4816 ASHFORD LN, ATLANTA, GA 30338-2650
(770) 652-3667
Mailing address
PO BOX 501741, ATLANTA, GA 31150-1741
(770) 652-3667
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
363LF0000X
Family Nurse Practitioner
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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