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400 Prospect Pl Alpharetta GA 30005-5468 | |
| (470) 231-5355 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Gleyce Almeida-farrell (CEO) |
| Authorized Official Contact | 7326734324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
223 Roswell St Ste 201 Alpharetta GA 30009-2019 Ph: (470) 231-5355 | 400 Prospect Pl Alpharetta GA 30005-5468 Ph: (470) 231-5355 |
| NPI Number | 1932664968 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932664968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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