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240 N Highland Ave Ne Bldg 3 Atlanta GA 30307-5609 | |
(404) 524-2424 | |
(404) 524-2425 |
Full Name | |
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Speciality | Internal Medicine |
Location | 240 N Highland Ave Ne Bldg 3, Atlanta, Georgia |
Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
Authorized Official Contact | 4042655009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 198043 Atlanta GA 30384-8043 Ph: () - | 240 N Highland Ave Ne Bldg 3 Atlanta GA 30307-5609 Ph: (404) 524-2424 |
NPI Number | 1669651287 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 07/15/2014 |
Identifier | Type | State | Issuer |
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1669651287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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