Organization
QUINTERO MEDICAL INSTITUTE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RODRIGUEZ (OWNER)
(404) 819-3564
Entity
Organization
Contact information
Practice address
201 17TH ST NW STE 300, ATLANTA, GA 30363-1191
(404) 819-3564
Mailing address
201 17TH ST NW STE 300, ATLANTA, GA 30363-1191
(404) 819-3564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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