Organization
BAPTIST CONGREGATE OF ATLANTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER E FERNANDEZ (DIRECTOR)
(404) 754-1914
Entity
Organization
Contact information
Practice address
165 COURTLAND ST NE, SUITE A301, ATLANTA, GA 30303-1721
(404) 754-1914
(404) 724-0584
Mailing address
165 COURTLAND ST NE, SUITE A301, ATLANTA, GA 30303-1721
(404) 754-1914
(404) 724-0584
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
139425LGB
GA
Other
Enumeration date
04/01/2007
Last updated
08/22/2020
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