Atlanta Mobile Medical LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ATLANTA MOBILE MEDICAL LLC

Practice address

1054 Main St
Stone Mountain, GA 30083-2975

Phone

(770) 469-1993

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Boyer

Title

Manager

Phone

(770) 469-1993

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1093984965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832975",
            "telephone_number": "770-469-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 MAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832975",
            "telephone_number": "770-469-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MOBILE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-469-1993"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.