Organization
METRO ATLANTA ACCESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGUS C HOWARD JR. MD (PRESIDENT - CHAIRMAN OF THE BOARD)
(404) 696-7300
Entity
Organization
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, SUITE 314, ATLANTA, GA 30331-5589
(404) 349-7770
(404) 349-7778
Mailing address
3885 PRINCETON LAKES WAY SW, SUITE 314, ATLANTA, GA 30331-5589
(404) 349-7770
(404) 349-7778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598755993
NPI
GA
01
—
1649345919
NPI
GA
01
—
1730127945
NPI
GA
05
—
221585150A
—
GA
Enumeration date
05/09/2007
Last updated
09/20/2011
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