MEDICARE: MTN HEALTHCARE GROUP, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	208000000X	Pediatrics Physician
4	2080P0205X	Pediatric Endocrinology Physician
5	2084P0804X	Child & Adolescent Psychiatry Physician
6	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1093074551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MTN HEALTHCARE GROUP, LLC

Provider Business Mailing Address
First Line	:	1117 PERIMETER CTR W
Second Line	:	SUITE N404
City	:	ATLANTA
State	:	GA
Zip	:	30338-5451
Country	:	US
Telephone Number	:	770-817-4117
Fax Number	:	770-817-4105

Provider Business Practice Location Address
First Line	:	1117 PERIMETER CTR W
Second Line	:	SUITE N404
City	:	ATLANTA
State	:	GA
Zip	:	30338-5451
Country	:	US
Telephone Number	:	770-817-4117
Fax Number	:	770-817-4105

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CESAR AUGUSTO MAZZOTTA
Credential	:
Telephone Number	:	770-817-4117

Provider Enumeration Date	:	05/03/2012
Last Update Date	:	05/03/2012

Similar Medicare Providers

1720067093 — DR. JENNIFER BOSWELL SNOWDEN M.D.
Practice Location Address:

1117 PERIMETER CTR , N404
ATLANTA, GA
30338-5451

Practice Phone: 770-817-4117
Practice Fax:

1265486203 — DR. SUNDEEP - CHAUDHRY M.D.
Practice Location Address:

1117 PERIMETER CTR W , W-211
ATLANTA, GA
30338-5451

Practice Phone: 678-636-3062
Practice Fax: 678-636-3086

1659310514 — HOSPICE PREFERRED CHOICE, INC.
Practice Location Address:

1117 PERIMETER CENTER WEST , N500
ATLANTA, GA
30338-5451

Practice Phone: 770-698-8785
Practice Fax:

1538425780 — HOSPICE PREFERRED CHOICE, INC.
Practice Location Address:

1117 PERIMETER CTR W , N500
ATLANTA, GA
30338-5451

Practice Phone: 770-698-8785
Practice Fax:

1366709479 — WM THERAPYCARE, INC.
Practice Location Address:

1117 PERIMETER CTR W , SUITE W514
ATLANTA, GA
30338-5451

Practice Phone: 877-710-6999
Practice Fax: 404-592-8880

1942737911 — BRIAN STENBERG MD
Practice Location Address:

1117 PERIMETER CTR STE 502
ATLANTA, GA
30338-5451

Practice Phone: 404-825-4397
Practice Fax:

Directions to “MTN HEALTHCARE GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.