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General NPI Number Information
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NPI Number | 1154530673
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Entity Type | Organization
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Legal Business Name | METROPOLITAN MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2150 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30315-6220
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Country | US
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Telephone | 404-768-4343
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Fax | 404-768-4122
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Provider Business Mailing Address
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Address Line | 2150 METROPOLITAN PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30315-6220
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Country | US
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Telephone | 404-768-4343
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Fax | 404-768-4122
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Authorized Official
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Title or Position | M.D.
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Name | DR. HERBERT HARRELL GUNN JR.
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Credential | M.D.
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Telephone | 404-768-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 015474
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License Number State | GA
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