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NPI Code Detail

MEDICARE: TALBOTT DUNWOODY

MEDICARE: TALBOTT DUNWOODY
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
1251S00000XCommunity/Behavioral Health Agency
2251S00000XCommunity/Behavioral Health AgencyDRUG12459GA

General Provider Information

NPI Number : 1770033425
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALBOTT DUNWOODY
Provider Business Mailing Address
First Line : 5355 HUNTER RD
Second Line :
City : ATLANTA
State : GA
Zip : 30349-2594
Country : US
Telephone Number : 678-251-3100
Fax Number : 770-994-3990
Provider Business Practice Location Address
First Line : 4480 N SHALLOWFORD RD STE 224
Second Line :
City : DUNWOODY
State : GA
Zip : 30338-6410
Country : US
Telephone Number : 678-251-3211
Fax Number : 770-970-2195
Authorized Official
Title or Position : EVP - CHIEF FINANCIAL OFFICER
Name : STEVE FILTON
Credential :
Telephone Number : 601-382-3319
Provider Enumeration Date : 10/06/2016
Last Update Date : 02/20/2020

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