Organization · Type 2 NPI
Professional Medical & Rehab Clinic
Primary Care Clinic/Center · Atlanta, GA
NPI number
1669716718
Active
Practice location
2636 Martin Luther King Jr Dr SW, Ste. 12
Atlanta, GA 30311-1634
Fax (404) 696-2823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1669716718
Professional Medical & Rehab Clinic's National Provider Identifier is 1669716718, issued on Nov 15, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Atlanta, GA. The record was last updated on Nov 15, 2012.