| Immune Recovery Institute Inc | |
|
4536 Chamblee Dunwoody Rd Ste 250 Dunwoody GA 30338-6200 | |
| (770) 455-6100 | |
| (770) 455-1999 |
| Full Name | Immune Recovery Institute Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4536 Chamblee Dunwoody Rd, Dunwoody, Georgia |
| Authorized Official Name and Position | Samuel Edward Bradford (CEO) |
| Authorized Official Contact | 7704556100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immune Recovery Institute Inc 4536 Chamblee Dunwoody Rd Ste 250 Dunwoody GA 30338-6200 Ph: (770) 455-6100 | Immune Recovery Institute Inc 4536 Chamblee Dunwoody Rd Ste 250 Dunwoody GA 30338-6200 Ph: (770) 455-6100 |
| NPI Number | 1295050987 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295050987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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