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Organization

MYHEALTH MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORETTA FITZPATRICK (MANAGING DIRECTOR)
(404) 826-0022
Entity
Organization

Contact information

Practice address
4232 DEFOORS FARM TRL, POWDER SPRINGS, GA 30127-4067
(678) 548-5653
Mailing address
PO BOX 2572, POWDER SPRINGS, GA 30127-7535
(404) 826-0022

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
06/16/2014
Last updated
09/14/2017
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