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A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Preferred Provider Organization |
305R00000X |
| NPI Number | 1962660555 |
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| LBN Legal business name | FABULOUS SMILES OF ATLANTA LLC | ||||||||
| Authorized official | DANIELLE GREENE - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/30/2008 | ||||||||
| Last updated | 05/30/2008 - About 18 years ago | ||||||||
| Identifiers |
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FABULOUS SMILES OF ATLANTA LLC
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| ABIGAIL D LEONE, LPC 246 NEW COVENANT RD. ABBEVILLE, GA |
| ISAIAS M MARTINEZ JR 2546 WOOD BEND LN 30296, GA |
| CHRISTOPHER J JACKSON, MD 720 WESTVIEW DR SW, ATLANTA, GA, 30310 720 WESTVIEW DRIVE SW, GA |
| ALEXIS N WALLACE, MD AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST, GA |
| MEAGAN M DANTONE, DO 49 JESSE HILL DR SE 30303, GA |
FABULOUS SMILES OF ATLANTA LLC