Organization
ORIGIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAN AMIN MD (PRINCIPAL)
(267) 456-4313
Entity
Organization
Contact information
Practice address
1120 CURRAN ST NW, ATLANTA, GA 30318-5430
(267) 456-4313
Mailing address
1120 CURRAN ST NW STE 101, ATLANTA, GA 30318-5430
(267) 456-4313
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
01/07/2026
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