Organization · Type 2 NPI
Pro-Med of Atlanta, PC
General Practice Physician · Atlanta, GA
NPI number
1730491473
Active
Practice location
4646 North Shallowford Road, #400
Atlanta, GA 30338
Fax (770) 392-9805
Mailing address
4646 N Shallowford Rd, #400
Atlanta, GA 30338-6308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | AT2218116 (GA) |
| General Practice Physician | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1730491473
Pro-Med of Atlanta, PC's National Provider Identifier is 1730491473, issued on Jul 10, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 10, 2010.