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Organization

ATLANTIC TELEHEALTH INC

Active
Other names
Eastern Telehealth Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW FORREST KOHLER MD (PRESIDENT)
(571) 249-2493
Entity
Organization

Contact information

Practice address
14820 LEE HWY, AMISSVILLE, VA 20106-4228
(571) 249-2493
Mailing address
14820 LEE HWY, AMISSVILLE, VA 20106-4228
(571) 249-2493

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QE0002X
Emergency Care Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
261QR1300X
Rural Health Clinic/Center

Other

Enumeration date
01/10/2023
Last updated
07/25/2023
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