| Prism Medical Group ,llc | |
| 
					1343 Terrell Mill Rd Se Ste 232 Marietta GA 30067-9472  | |
| (404) 814-4634 | |
| Not Available | 
| Full Name | Prism Medical Group ,llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 1343 Terrell Mill Rd Se Ste 232, Marietta, Georgia | 
| Authorized Official Name and Position | Michael Pompey (OWNER) | 
| Authorized Official Contact | 4048448334 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prism Medical Group ,llc 2381 Red Hibiscus Ct Atlanta GA 30331-8019 Ph: (404) 844-8334  | Prism Medical Group ,llc 1343 Terrell Mill Rd Se Ste 232 Marietta GA 30067-9472 Ph: (404) 814-4634  | 
| NPI Number | 1487397105 | 
|---|---|
| Provider Enumeration Date | 04/20/2022 | 
| Last Update Date | 04/20/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487397105 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
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