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General NPI Number Information
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NPI Number | 1154436921
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Entity Type | Organization
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Legal Business Name | ATLANTA MEDICAL CARE
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5526 OLD NATIONAL HWY BLDG. J
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City | ATLANTA
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State | GA
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Zip | 30349-3249
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Country | US
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Telephone | 404-766-6001
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Fax | 678-904-2769
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Provider Business Mailing Address
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Address Line | 5526 OLD NATIONAL HWY BLDG. J
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City | ATLANTA
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State | GA
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Zip | 30349-3249
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Country | US
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Telephone | 404-766-6001
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Fax | 678-904-2769
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHUKWUDI BATO AMU
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Credential | M.D.
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Telephone | 404-766-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 026967
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54376
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License Number State | GA
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