| Miracle Health Care Services | |
|
396 Piedmont Ave Ne Unit 4013 Atlanta GA 30308-3400 | |
| (678) 705-8075 | |
| Not Available |
| Full Name | Miracle Health Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 396 Piedmont Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Xavier Young (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7043153895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Health Care Services 396 Piedmont Ave Ne Unit 4013 Atlanta GA 30308-3400 Ph: (678) 705-8075 | Miracle Health Care Services 396 Piedmont Ave Ne Unit 4013 Atlanta GA 30308-3400 Ph: (678) 705-8075 |
| NPI Number | 1114233715 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114233715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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