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A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI Number | 1609820745 |
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| LBN Legal business name | CHAMBLEE MEDICAL CLINIC | ||||||||||||
| Authorized official | SOREN THOMAS - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/22/2006 | ||||||||||||
| Last updated | 02/25/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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CHAMBLEE MEDICAL CLINIC
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CHAMBLEE MEDICAL CLINIC