Organization
MEDPRIME, LLC
Active
Other names
Wellness Plus Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARK REZNIK (PRACTICE ADMINISTRATOR)
(404) 522-5552
Entity
Organization
Contact information
Practice address
229 PEACHTREE ST, SUITE A-01, ATLANTA, GA 30303-1601
(404) 522-5552
(404) 522-5151
Mailing address
PO BOX 501741, ATLANTA, GA 31150-1741
(404) 522-5552
(404) 522-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO07312
GA
208D00000X
General Practice Physician
Primary
044023
GA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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