Edifiers | |
650 Ponce De Leon Ave Ne Ste 1063318t Atlanta GA 30308-1804 | |
(404) 290-1667 | |
Not Available |
Full Name | Edifiers |
---|---|
Speciality | Social Worker - Clinical |
Location | 650 Ponce De Leon Ave Ne Ste 1063318t, Atlanta, Georgia |
Authorized Official Name and Position | Sharday Fields (OWNER) |
Authorized Official Contact | 4042901667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edifiers 650 Ponce De Leon Ave Ne Ste 300-1063 Atlanta GA 30308-1804 Ph: (404) 290-1667 | Edifiers 650 Ponce De Leon Ave Ne Ste 1063318t Atlanta GA 30308-1804 Ph: (404) 290-1667 |
NPI Number | 1306428289 |
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Provider Enumeration Date | 04/21/2021 |
Last Update Date | 10/13/2021 |
Certification Date | 10/13/2021 |
Identifier | Type | State | Issuer |
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1306428289 | NPI | - | NPPES |
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