Baptist Congregate Of Atlanta Inc | |
165 Courtland St Ne Suite A301 Atlanta GA 30303-1721 | |
(404) 754-1914 | |
(404) 724-0584 |
Full Name | Baptist Congregate Of Atlanta Inc |
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Speciality | General Practice |
Location | 165 Courtland St Ne, Atlanta, Georgia |
Authorized Official Name and Position | Javier E Fernandez (DIRECTOR) |
Authorized Official Contact | 4047541914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baptist Congregate Of Atlanta Inc 165 Courtland St Ne Suite A301 Atlanta GA 30303-1721 Ph: (404) 754-1914 | Baptist Congregate Of Atlanta Inc 165 Courtland St Ne Suite A301 Atlanta GA 30303-1721 Ph: (404) 754-1914 |
NPI Number | 1619097573 |
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Provider Enumeration Date | 04/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1619097573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 139425LGB (Georgia) | Primary |
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