Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1538615190 |
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| LBN Legal business name | ATMA CLINIC, LLC | ||||
| Authorized official | NEELA SANDAL - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/01/2016 | ||||
| Last updated | 09/01/2016 - About 10 years ago | ||||
| Identifiers |
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