| Mid Physician Network (ky), Llc | |
|
5665 New Northside Dr Ste 520 Atlanta GA 30328-4617 | |
| (855) 879-4332 | |
| Not Available |
| Full Name | Mid Physician Network (ky), Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5665 New Northside Dr Ste 520, Atlanta, Georgia |
| Authorized Official Name and Position | Adrian Paul Davis (FOUNDER) |
| Authorized Official Contact | 8558794332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Physician Network (ky), Llc Po Box 6760 Thomasville GA 31758-6760 Ph: () - | Mid Physician Network (ky), Llc 5665 New Northside Dr Ste 520 Atlanta GA 30328-4617 Ph: (855) 879-4332 |
| NPI Number | 1265945166 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265945166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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