Organization · Type 2 NPI

Polaris Medical Group LLC

Specialist · Atlanta, GA

NPI number 1366583577 Active

Practice location

1136 Cleveland Ave
Atlanta, GA 30344

Fax (404) 766-8106

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Specialist Primary 174400000X052218 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366583577

Polaris Medical Group LLC's National Provider Identifier is 1366583577, issued on Feb 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 3, 2009.