Withinme Md, College Park

NPI 1528478807 - Clinic/Center - 261Q00000X

NPI Details
NPI 1528478807
Enumeration Date 05/07/2014
Last Updated 05/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VICKI VICKI
Position MEDICAL DIRECTOR
Phone (404) 464-8169
Fax
Practice Location
5100 OLD BILL COOK RD
COLLEGE PARK GA, 30349-3142, US
Phone (404) 464-8169
Fax
Business Location
5100 OLD BILL COOK RD
COLLEGE PARK GA, 30349-3142, US
Phone (404) 464-8169
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Georgia
License Number 031032
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According to our database, Withinme Md, College Park NPI is 1528478807, taxonomy code is 261Q00000X and license number is 031032, license state is located at Georgia. Withinme Md, College Park physically located at 5100 Old Bill Cook Rd, College Park GA, 30349-3142. NPI Number 1033115704 has the healthcare provider type.

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1528478807 NPI number is provided on an as is basis without warranty of any kind. 1528478807 is maintained by the National Plan & Provider Enumeration System. The contents of Withinme Md, College Park are for informational purposes only.