Organization
BETHESDA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT MARTIN EDWARDS II MD (PRESIDENT)
(770) 241-1326
Entity
Organization
Contact information
Practice address
4039 ATLANTA ST STE 100, POWDER SPRINGS, GA 30127-2666
(770) 328-6398
(706) 793-9397
Mailing address
PO BOX 5, POWDER SPRINGS, GA 30127-0005
(770) 328-6398
(404) 443-0690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30053
GA
Other
Enumeration date
08/05/2015
Last updated
10/08/2021
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