Organization · Type 2 NPI

Southwest Atlanta Medical & Rehabilitation Clinic LLC

Adult Medicine Physician · Atlanta, GA

NPI number 1063805091 Active

Practice location

495 85 Circle, Suite 100
Atlanta, GA 30349

Call (678) 705-1733 Map

Fax (678) 573-5039

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1063805091

Southwest Atlanta Medical & Rehabilitation Clinic LLC's National Provider Identifier is 1063805091, issued on Mar 16, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Atlanta, GA. The record was last updated on Mar 16, 2015.