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General NPI Number Information
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NPI Number | 1427201797
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Entity Type | Organization
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Legal Business Name | ATLANTIC HEALTH SOLUTIONS, INC.
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 6128 PRESTLEY MILL RD STE G
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5622
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Country | US
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Telephone | 404-287-5368
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Fax | 404-393-9268
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Provider Business Mailing Address
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Address Line | 1579F MONROE DR NE # 933
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City | ATLANTA
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State | GA
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Zip | 30324-5016
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Country | US
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Telephone | 404-287-5368
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Fax | 404-393-9268
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Authorized Official
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Title or Position | CEO
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Name | JOHN ALEXANDER JOHNSON
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Credential | M.D.
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Telephone | 404-287-5368
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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 |
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License Number State |
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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 |
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License Number State |
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