Organization
ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC
Active
Other names
ACCUMEDIC DIAGNOSTIC MANAGEMENT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMAN DESIR (CEO)
(954) 487-7464
Entity
Organization
Contact information
Practice address
373 W LAKE AVE NW, ATLANTA, GA 30318-8123
(770) 366-9614
Mailing address
4760 AUSTELL RD STE 7, AUSTELL, GA 30106-2007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142287S
—
GA
01
—
69322
LICENSE
GA
Enumeration date
03/15/2019
Last updated
08/21/2019
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