Baptist Group Of Buckhead | |
5456 Peachtree Industrial Blvd Suite 305 Atlanta GA 30341-2235 | |
(404) 735-8641 | |
(404) 898-1809 |
Full Name | Baptist Group Of Buckhead |
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Speciality | General Practice |
Location | 5456 Peachtree Industrial Blvd, Atlanta, Georgia |
Authorized Official Name and Position | Javier A Lopez Cisneros (ADMINISTRATOR) |
Authorized Official Contact | 4047358641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baptist Group Of Buckhead 5456 Peachtree Industrial Blvd Suite 305 Atlanta GA 30341-2235 Ph: (404) 735-8641 | Baptist Group Of Buckhead 5456 Peachtree Industrial Blvd Suite 305 Atlanta GA 30341-2235 Ph: (404) 735-8641 |
NPI Number | 1922128875 |
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Provider Enumeration Date | 03/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922128875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 150425LGB (Georgia) | Primary |
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