Organization
BONNE SANTE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAINDEL BELIZAIRE DO (MEDICAL DIRECTOR)
(770) 994-0171
Entity
Organization
Contact information
Practice address
2221 PEACHTREE RD NE, SUITE D 195, ATLANTA, GA 30309-1148
(770) 994-0171
(770) 507-4190
Mailing address
2221 PEACHTREE RD NE, SUITE D-195, ATLANTA, GA 30309-1148
(770) 994-0171
(770) 507-4190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052252
GA
Other
Enumeration date
01/15/2008
Last updated
07/22/2008
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