National Provider Identifier Database

ATLANTA MENS CLINIC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ATLANTA MEN'S CLINIC
4411 SUWANEE DAM RD STE 440
SUWANEE, GA30024-8706
Phone: 470-589-7140
Fax: 844-350-6954
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Endocrinology, Diabetes & Metabolism 207RE0101X

* Indicates primary specialty

NPI Profile & details for ATLANTA MEN'S CLINIC

NPI Number 1124752886
Legal business name
LBN
ATLANTA MEN'S CLINIC
Authorized official DIANA REEDER - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/10/2022
Last updated 04/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Other: 1255728994 NPI

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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