| Catalyst Physical Medicine Llc | |
|
4914 Atlanta Hwy Alpharetta GA 30004-2921 | |
| (770) 833-7907 | |
| Not Available |
| Full Name | Catalyst Physical Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 4914 Atlanta Hwy, Alpharetta, Georgia |
| Authorized Official Name and Position | Jennifer L Dorgan (PRESIDENT) |
| Authorized Official Contact | 9178819735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Physical Medicine Llc 4914 Atlanta Hwy Alpharetta GA 30004-2921 Ph: (770) 833-7907 | Catalyst Physical Medicine Llc 4914 Atlanta Hwy Alpharetta GA 30004-2921 Ph: (770) 833-7907 |
| NPI Number | 1396080925 |
|---|---|
| Provider Enumeration Date | 12/08/2012 |
| Last Update Date | 12/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396080925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 64776 (Georgia) | Primary |
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