| The Epitome, Llc | |
|
1626 Virginia Ave G Atlanta GA 30337-2857 | |
| (404) 645-6551 | |
| Not Available |
| Full Name | The Epitome, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1626 Virginia Ave, Atlanta, Georgia |
| Authorized Official Name and Position | Nicole Davis (CEO) |
| Authorized Official Contact | 4046456551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Epitome, Llc 2100 Liberty Hts Fairburn GA 30213-4413 Ph: (404) 645-6551 | The Epitome, Llc 1626 Virginia Ave G Atlanta GA 30337-2857 Ph: (404) 645-6551 |
| NPI Number | 1306385463 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306385463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006241 (Georgia) | Primary |
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