Healthcare Provider Details

I. General information

NPI: 1275141467
Provider Name (Legal Business Name): VIRAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 HOWELL MILL RD NW
ATLANTA GA
30318-7660
US

IV. Provider business mailing address

2310 PARKLAKE DR NE STE 100
ATLANTA GA
30345-2967
US

V. Phone/Fax

Practice location:
  • Phone: 470-601-7810
  • Fax: 470-300-8750
Mailing address:
  • Phone: 470-601-7810
  • Fax: 470-300-8750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN LEFKOVE
Title or Position: OWNER
Credential: MD
Phone: 470-601-7810