Organization
ATLANTA CENTER FOR MEDICINE II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CARPENTER (BUSINESS OFFICE MANAGER)
(404) 296-3111
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD, SUITE 300, DECATUR, GA 30033-5949
(404) 296-3111
(404) 297-7340
Mailing address
2801 N DECATUR RD, SUITE 300, DECATUR, GA 30033-5949
(404) 296-3111
(404) 297-7340
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055003002A
—
GA
Enumeration date
07/20/2005
Last updated
05/19/2015
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