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NPI Code Detail

MEDICARE: PERIMETER MEDICAL WELLNESS

MEDICARE: PERIMETER MEDICAL WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center
2261QP2300XPrimary Care Clinic/CenterGA

General Provider Information

NPI Number : 1508290834
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERIMETER MEDICAL WELLNESS
Provider Business Mailing Address
First Line : 1801 PEACHTREE ST NE STE 145
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1895
Country : US
Telephone Number : 770-800-3353
Fax Number : 770-575-8361
Provider Business Practice Location Address
First Line : 1801 PEACHTREE ST NE STE 145
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1895
Country : US
Telephone Number : 770-800-3353
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JIM WARD
Credential :
Telephone Number : 770-274-9511
Provider Enumeration Date : 08/22/2013
Last Update Date : 07/25/2024

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Directions to “PERIMETER MEDICAL WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.