Usmammo

NPI 1104039486 - Clinic/Center - 261QR0206X

NPI Details
NPI 1104039486
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARTHA D MARTHA
Position CEO,PRESIDENT
Phone (404) 419-6644
Fax (678) 904-2591
Practice Location
1175 PEACHTREE ST NE
SUITE 1425
ATLANTA GA, 30361-6202, US
Phone (404) 419-6644
Fax (678) 904-2591
Business Location
1175 PEACHTREE ST NE
SUITE 1425
ATLANTA GA, 30361-6202, US
Phone (404) 419-6644
Fax (678) 904-2591
Toxanomy
Taxonomy Code 261QR0206X
License State Georgia
License Number 0609796
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According to our database, Usmammo NPI is 1104039486, taxonomy code is 261QR0206X and license number is 0609796, license state is located at Georgia. Usmammo physically located at 1175 Peachtree St Ne, Atlanta GA, 30361-6202. NPI Number 1033115704 has the healthcare provider type.

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1104039486 NPI number is provided on an as is basis without warranty of any kind. 1104039486 is maintained by the National Plan & Provider Enumeration System. The contents of Usmammo are for informational purposes only.