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General NPI Number Information
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NPI Number | 1851631949
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA INTERNAL MEDICINE, LLC
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 5885 GLENRIDGE DR NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5512
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Country | US
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Telephone | 404-252-7526
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Fax | 404-851-1709
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Provider Business Mailing Address
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Address Line | 5885 GLENRIDGE DR NE SUITE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5512
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Country | US
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Telephone | 404-252-7526
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Fax | 404-851-1709
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLY BURTON THRASHER
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Credential | MD
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Telephone | 404-252-7526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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