Eleven 11 Medical Management, LLC

NPI #1356616338 in Hapeville, Georgia

Provider Information

NPI Number
1356616338
Entity Type
Organization
Organization Name
Eleven 11 Medical Management, LLC
Primary Specialty
Allergy & Immunology - Allergy
Enumeration Date
Mar 9, 2012
Last Updated
Mar 9, 2012

Practice Location

Address
438 HENRY FORD II AVE
State
Georgia
ZIP Code
30354-1622
Phone
(678) 235-2401

Authorized Official

Name
MS. CYNTHIA TATE
Title
ADMINISTRATOR
Phone
(678) 235-2401

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology - AllergyAllergy

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