| Extreme Medical Group, Inc. | |
|
2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 | |
| (678) 237-6363 | |
| Not Available |
| Full Name | Extreme Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2484 Briarcliff Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Didier Gutierrez (PRESIDENT) |
| Authorized Official Contact | 6782376363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extreme Medical Group, Inc. 2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 Ph: (678) 237-6363 | Extreme Medical Group, Inc. 2484 Briarcliff Rd Ne Suite 22-353 Atlanta GA 30329-3011 Ph: (678) 237-6363 |
| NPI Number | 1003058165 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003058165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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