| 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 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487397105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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