PRO-MEDICAL CENTER LLC (NPI# 1255882353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255882353 |
| Entity Type | Organization |
| Organization Name | PRO-MEDICAL CENTER LLC |
| Practice Address |
2090 Dunwoody Club Dr Ste 106-241 Atlanta GA 30350-5434 |
| Mailing Address |
4646 N Shallowford Rd Atlanta GA 30338-6308 |
| Practice Telephone | 6787366342 |
| Practice Fax Number | 6788927428 |
| Mailing Telephone | 6787366342 |
| Mailing Fax Number | 6788927428 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MARY LEACH (BILLING) |
| Authorized Official Telephone | 6787366342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2090 DUNWOODY CLUB DR STE 106-241 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| 1790292688 | Battery Healthcare LLC | General Practice | 2550 Heritage Ct Se Ste 155, Atlanta, GA 30339-3065 | 2018-01-02 |
| 1174917470 | Thomas Merryfield Jarrett | General Practice | 2870 Peachtree Rd Nw Ste 915-3296, Atlanta, GA 30305-2918 | 2015-03-24 |
| 1306247663 | Hbisc | General Practice | 3118 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2014-09-05 |
| 1891106183 | Stephanie Elizabeth James | General Practice | 315 Boulevard Ne Ste 516, Atlanta, GA 30312 | 2014-05-08 |
| 1871928747 | Shefffrin Men's Health-midtown, P.C. | General Practice | 2025 Monroe Dr Ne, Suite A, Atlanta, GA 30324-4830 | 2013-09-10 |
| 1750721221 | International Community Medical Network, LLC | General Practice | 1900 Windsor Dr Sw, Atlanta, GA 30311-4414 | 2013-06-28 |
| 1457692956 | Pmc Medical & Diagnostics, LLC | General Practice | 4646 N Shallowford Rd Ste 100, Atlanta, GA 30338-6308 | 2013-03-07 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.