Midtown Medical Center, LLC

NPI #1134416100 in Atlanta, Georgia

Provider Information

NPI Number: 1134416100
Entity Type: Organization
Organization Name: Midtown Medical Center, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 29, 2011
Last Updated: Jun 29, 2011

Practice Location

Address: 197 14TH ST NW STE 100
City: Atlanta
State: Georgia
ZIP Code: 30318-7827
Phone: (404) 343-1649

Authorized Official

Name: DR. KHAMIS IBRAHIM
Title: DIRECTOR
Phone: (404) 343-1649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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