Extreme Medical Group, Inc.

NPI 1003058165 - Family Medicine - 207Q00000X

NPI Details
NPI 1003058165
Enumeration Date 04/03/2009
Last Updated 04/03/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DIDIER DIDIER
Position PRESIDENT
Phone (678) 237-6363
Fax
Practice Location
2484 BRIARCLIFF RD NE
SUITE 22-353
ATLANTA GA, 30329-3011, US
Phone (678) 237-6363
Fax
Business Location
2484 BRIARCLIFF RD NE
SUITE 22-353
ATLANTA GA, 30329-3011, US
Phone (678) 237-6363
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Extreme Medical Group, Inc. NPI is 1003058165, taxonomy code is 207Q00000X Extreme Medical Group, Inc. physically located at 2484 Briarcliff Rd Ne, Atlanta GA, 30329-3011. NPI Number 1033115704 has the healthcare provider type.

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1003058165 NPI number is provided on an as is basis without warranty of any kind. 1003058165 is maintained by the National Plan & Provider Enumeration System. The contents of Extreme Medical Group, Inc. are for informational purposes only.