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9420 Willeo Rd Suite 206 Roswell GA 30075-6772 | |
| (770) 552-3232 | |
| (770) 552-3230 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 9420 Willeo Rd, Roswell, Georgia |
| Authorized Official Name and Position | Brett Adam Greenberg (CEO) |
| Authorized Official Contact | 7705523232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9420 Willeo Rd Suite 206 Roswell GA 30075-6772 Ph: (770) 552-3232 | 9420 Willeo Rd Suite 206 Roswell GA 30075-6772 Ph: (770) 552-3232 |
| NPI Number | 1548551344 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548551344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 031205 (Georgia) | Primary |
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