Kpm, Llc | |
4113 Barry Pl Chamblee GA 30341-1203 | |
(404) 819-5518 | |
Not Available |
Full Name | Kpm, Llc |
---|---|
Speciality | Family Medicine |
Location | 4113 Barry Pl, Chamblee, Georgia |
Authorized Official Name and Position | George Miranda (CEO) |
Authorized Official Contact | 4048195518 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kpm, Llc 4113 Barry Pl Chamblee GA 30341-1203 Ph: (404) 819-5518 | Kpm, Llc 4113 Barry Pl Chamblee GA 30341-1203 Ph: (404) 819-5518 |
NPI Number | 1306466602 |
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Provider Enumeration Date | 04/16/2020 |
Last Update Date | 04/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306466602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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