Organization
ATLANTA CENTER FOR MEDICINE II PC
Active
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
Update your record
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