Extreme Medical Group, Inc. | |
2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 | |
(678) 237-6363 | |
Not Available |
Full Name | Extreme Medical Group, Inc. |
---|---|
Speciality | Internal Medicine |
Location | 2484 Briarcliff Rd Ne, Atlanta, Georgia |
Authorized Official Name and Position | Didier Gutierrez (PRESIDENT) |
Authorized Official Contact | 6782376363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Extreme Medical Group, Inc. 2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 Ph: (678) 237-6363 | Extreme Medical Group, Inc. 2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 Ph: (678) 237-6363 |
NPI Number | 1003058165 |
---|---|
Provider Enumeration Date | 04/03/2009 |
Last Update Date | 04/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003058165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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