Extreme Medical Group, Inc.

NPI #1003058165 in Atlanta, Georgia

Provider Information

NPI Number: 1003058165
Entity Type: Organization
Organization Name: Extreme Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Apr 3, 2009
Last Updated: Apr 3, 2009

Practice Location

Address: 2484 BRIARCLIFF RD NE
Address 2: SUITE 22-353
City: Atlanta
State: Georgia
ZIP Code: 30329-3011
Phone: (678) 237-6363

Authorized Official

Name: MR. DIDIER GUTIERREZ
Title: PRESIDENT
Phone: (678) 237-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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