Organization
PHYSICIAN SPECIALISTS OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECA ROSH (OWNER)
(404) 531-9992
Entity
Organization
Contact information
Practice address
100 GLENRIDGE POINT PKWY NE, STE 530, ATLANTA, GA 30342-1442
(404) 531-9992
(404) 531-9901
Mailing address
PO BOX 421876, ATLANTA, GA 30342-8876
(404) 531-9992
(404) 531-9901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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