Buckhead Clinic, Llc

NPI 1073811246 - General Practice - 208D00000X

NPI Details
NPI 1073811246
Enumeration Date 03/11/2011
Last Updated 03/11/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOHN Y JOHN
Position MBR
Phone (770) 643-2010
Fax (770) 643-2011
Practice Location
3115 PIEDMONT ROAD NE
ATLANTA GA, 30305, US
Phone (770) 643-2010
Fax (770) 643-2011
Business Location
3115 PIEDMONT ROAD NE
ATLANTA GA, 30305, US
Phone (770) 643-2010
Fax (770) 643-2011
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 38600
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According to our database, Buckhead Clinic, Llc NPI is 1073811246, taxonomy code is 208D00000X and license number is 38600, license state is located at Georgia. Buckhead Clinic, Llc physically located at 3115 Piedmont Road Ne, Atlanta GA, 30305. NPI Number 1033115704 has the healthcare provider type.

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1073811246 NPI number is provided on an as is basis without warranty of any kind. 1073811246 is maintained by the National Plan & Provider Enumeration System. The contents of Buckhead Clinic, Llc are for informational purposes only.