| Mid Physician Network (wv), Pllc | |
|
5665 New Northside Dr Suite 520 Atlanta GA 30328-5831 | |
| (678) 491-2804 | |
| Not Available |
| Full Name | Mid Physician Network (wv), Pllc |
|---|---|
| Speciality | General Practice |
| Location | 5665 New Northside Dr, Atlanta, Georgia |
| Authorized Official Name and Position | Adrian Davis (CEO) |
| Authorized Official Contact | 6784912804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Physician Network (wv), Pllc 5665 New Northside Dr Suite 520 Atlanta GA 30328-5831 Ph: () - | Mid Physician Network (wv), Pllc 5665 New Northside Dr Suite 520 Atlanta GA 30328-5831 Ph: (678) 491-2804 |
| NPI Number | 1649703836 |
|---|---|
| Provider Enumeration Date | 04/05/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649703836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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