Organization
ATLANTA INTRA-OP MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SULLIVAN (BILLING MANAGER)
(903) 259-0550
Entity
Organization
Contact information
Practice address
1150 HAMMOND DR STE 400, ATLANTA, GA 30328-8617
(214) 269-3875
(903) 328-6568
Mailing address
111 BOLAND ST STE 211, FT WORTH, TX 76107-1265
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
09/03/2020
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