MEDICARE: PERSONALIZED HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	043418	GA

General Provider Information

NPI Number	:	1063641868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONALIZED HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	6115 PEACHTREE DUNWOODY RD STE 160
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5546
Country	:	US
Telephone Number	:	404-843-3636
Fax Number	:	404-891-7164

Provider Business Practice Location Address
First Line	:	6115 PEACHTREE DUNWOODY RD STE 200
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5684
Country	:	US
Telephone Number	:	404-303-8889
Fax Number	:	404-303-8887

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAROLINE M ABRUZESE
Credential	:	MD
Telephone Number	:	404-303-8889

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	07/15/2024

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