| Common Earthling | |
|
3715 Northside Parkway Nw Building 100-suite 500 Atlanta GA 30327 | |
| (404) 793-0924 | |
| (601) 568-9733 |
| Full Name | Common Earthling |
|---|---|
| Speciality | Social Worker |
| Location | 3715 Northside Parkway Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Rebecca Wilson (CEO) |
| Authorized Official Contact | 4046646055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Earthling 3715 Northside Parkway Nw Building 100-suite 500 Atlanta GA 30327 Ph: (404) 793-0924 | Common Earthling 3715 Northside Parkway Nw Building 100-suite 500 Atlanta GA 30327 Ph: (404) 793-0924 |
| NPI Number | 1033829882 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033829882 | NPI | - | NPPES |
| 1609544832 | Other | GA | LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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