| Med South Associates Pc 2 Llc | |
|
6572 River Park Dr Suite 102 Riverdale GA 30274-2214 | |
| (404) 943-0205 | |
| Not Available |
| Full Name | Med South Associates Pc 2 Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6572 River Park Dr, Riverdale, Georgia |
| Authorized Official Name and Position | Alicia Holden (LEAD) |
| Authorized Official Contact | 4049430205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med South Associates Pc 2 Llc Po Box 468329 Atlanta GA 31146-8329 Ph: (404) 943-0205 | Med South Associates Pc 2 Llc 6572 River Park Dr Suite 102 Riverdale GA 30274-2214 Ph: (404) 943-0205 |
| NPI Number | 1710017413 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710017413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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