Organization
LARUTAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA DIONE BARNES (MANAGING PARTNER)
(404) 419-6494
Entity
Organization
Contact information
Practice address
340 BOULEVARD NE, SUITE 318, ATLANTA, GA 30312-1273
(404) 419-6494
Mailing address
340 BOULEVARD NE, SUITE 318, ATLANTA, GA 30312-1273
(404) 419-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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