Organization
PMC HEALTHCARE AND DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LEACH (BILLING SUPERVISOR)
(770) 676-6000
Entity
Organization
Contact information
Practice address
4646 N SHALLOWFORD RD, ATLANTA, GA 30338-6308
(770) 676-6000
(770) 392-9805
Mailing address
2090 DUNWOODY CIRCLE CLUB DRIVE, ATLANTA, GA 30350
(770) 676-6000
(770) 392-9805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
05/18/2011
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