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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1063805091 |
| LBN Legal business name | SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC |
| Authorized official | DALE CAREY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/16/2015 |
| Last updated | 03/16/2015 - About 11 years ago |
| Identifiers | n/a |
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SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC
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| MOREHOUSE HEALTHCARE, INC. 455 LEE STREET ATLANTA, GA |
| EVELYN CAMPBELL BAYAAN, MD 1331 MOUNT ZION RD MORROW, GA |
| FRANK ALENA, MD 1975 HIGHWAY 54 WEST FAYETTEVILLE, GA |
| CHARLES A BERGSTROM, MD 108 NORTH PARK DR. FAYETTEVILLE, GA |
| KELLY D ORGAN, MD 2400 MOUNT ZION PARKWAY JONESBORO, GA |
| LYNETTE G HALL, CNP 2400 MOUNT ZION PARKWAY JONESBORO, GA |
| MATTHIEU LALIBERTE, MD 2400 MOUNT ZION PARKWAY JONESBORO, GA |
| EMORY MEDICAL CARE FOUNDATION INC 80 JESSE HILL JR DRIVE ATLANTA, GA |
| ROSSI & SHIREY, MD, PC 699A PIEDMONT AVE., NE ATLANTA, GA |
| MARISSA B LAPEDIS, MD 1110 W PEACHTREE ST NW STE 200A ATLANTA, GA |
SOUTHWEST ATLANTA MEDICAL & REHABILITATION CLINIC LLC