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General NPI Number Information
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NPI Number | 1871473801
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Entity Type | Organization
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Legal Business Name | GEORGIA MEDICAL UNITED LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 99 KROG ST NE STE 301
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City | ATLANTA
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State | GA
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Zip | 30307-2677
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Provider Business Mailing Address
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Address Line | 99 KROG ST NE STE 301
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City | ATLANTA
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State | GA
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Zip | 30307-2677
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Country | US
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Telephone | 800-991-6117
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Fax | 888-812-8191
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE MANAGEMENT
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Name | HELEN RIVERA
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Credential |
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Telephone | 813-280-0705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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