Organization
RELYMD MEDICAL GROUP GA, LLC
Active
Parent organization
RELYMD MEDICAL GROUP, LLC
Other names
RelyMD Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELYMD MEDICAL GROUP, LLC
Authorized official
RONALD MICHAEL CREATORE (CFO/GENERAL COUNSEL)
(919) 932-0928
Entity
Organization
Contact information
Practice address
900 OLD ROSWELL LAKES PKWY STE 310, ROSWELL, GA 30076-8667
(919) 932-0928
Mailing address
510 MEADOWMONT VILLAGE CIR STE 323, CHAPEL HILL, NC 27517-7584
(919) 932-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20140276
GEORGIA SECRETARY OF STATE
GA
Enumeration date
08/19/2020
Last updated
08/26/2020
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