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Organization

PARKWAY PROFESSIONAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY RODRIGUEZ (BILLING MANAGER)
(561) 202-0834
Entity
Organization

Contact information

Practice address
541 FOREST PKWY, FOREST PARK, GA 30297-6144
(561) 202-0834
Mailing address
541 FOREST PKWY, FOREST PARK, GA 30297-6144
(561) 202-0834

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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  • EDI platform