Organization
ALL ABOUT U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLORISSAL RENEL ALCANTARA (PRESIDENT)
(404) 246-1141
Entity
Organization
Contact information
Practice address
7411 CHERRY BLOSSOM WAY, WINSTON, GA 30187-2069
(404) 246-1141
Mailing address
7411 CHERRY BLOSSOM WAY, WINSTON, GA 30187-2069
(404) 246-1141
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
621610
GA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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