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NPI Code Detail

MEDICARE: ALL THINGS POSSIBLE, INC

MEDICARE: ALL THINGS POSSIBLE, INC
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

General Provider Information

NPI Number : 1962775114
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL THINGS POSSIBLE, INC
Provider Business Mailing Address
First Line : 2192 CAMPBELLTON RD SW
Second Line : SUITE 103
City : ATLANTA
State : GA
Zip : 30311-4635
Country : US
Telephone Number : 404-788-8960
Fax Number :
Provider Business Practice Location Address
First Line : 2192 CAMPBELLTON RD SW
Second Line : SUITE 103
City : ATLANTA
State : GA
Zip : 30311-4635
Country : US
Telephone Number : 404-788-8960
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. BIBI JUANETTA BROOKS
Credential : BSQP CSAC-INTERN
Telephone Number : 404-788-8960
Provider Enumeration Date : 02/20/2012
Last Update Date : 02/20/2012

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Directions to “ALL THINGS POSSIBLE, INC ” Practice Location

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