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General NPI Number Information
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NPI Number | 1699450098
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Entity Type | Organization
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Legal Business Name | ATLANTAMED UC LLC
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 11912 JONES BRIDGE RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-4613
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Country | US
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Telephone | 678-990-1831
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Fax | 404-937-6299
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Provider Business Mailing Address
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Address Line | 4113 BARRY PL
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City | CHAMBLEE
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State | GA
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Zip | 30341-1203
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Country | US
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Telephone | 770-588-3230
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | ANTHONY FERRARA
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Credential | MD
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Telephone | 404-992-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 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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