Organization
WITHINME MD, ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRON SIMON MD (CHIEF MEDICAL DIRECTOR)
(804) 441-5040
Entity
Organization
Contact information
Practice address
604 GLEN IRIS DR NE, ATLANTA, GA 30308-2717
(404) 464-8169
(404) 921-9577
Mailing address
604 GLEN IRIS DR NE, 5275 LEE HIGHWAY #201, ARLINGTON, VIRGINIA 22207, ATLANTA, GA 30308-2717
(404) 464-8169
(404) 921-9577
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1366405037
GA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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