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Contact Information

ESTATE CLINICS BY CMG
107 UPPER RIVERDALE RD SW
RIVERDALE, GA30274-2504
 Phone: 770-997-2160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Research

261QR1100X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for ESTATE CLINICS BY CMG · (Female)

NPI # 1043981517
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2021
Last updated 09/24/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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