Immune Recovery Institute INC

NPI #1295050987 in Dunwoody, Georgia

Provider Information

NPI Number
1295050987
Entity Type
Organization
Organization Name
Immune Recovery Institute INC
Primary Specialty
Family Medicine
Enumeration Date
Apr 6, 2010
Last Updated
Apr 6, 2010

Practice Location

Address
4536 CHAMBLEE DUNWOODY RD
Address 2
STE 250
State
Georgia
ZIP Code
30338-6200
Phone
(770) 455-6100

Authorized Official

Name
MR. SAMUEL EDWARD BRADFORD, PAC
Title
CEO
Phone
(770) 455-6100

Specialties & Taxonomy Codes

Specialty
Family Medicine

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