Atlanta Medical Arts and Wellness, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048274 Issued in GA

Legal business name

ATLANTA MEDICAL ARTS AND WELLNESS, LLC

Practice address

1800 Water PL SE Ste 100
Atlanta, GA 30339-2041

Phone

(770) 801-0980

Fax

(770) 801-9039

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patrice Yvette Marshall, M.D.

Title

Owner

Phone

(770) 801-0980

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1578828893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 BRER RABBIT RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831858",
            "telephone_number": "770-801-0980",
            "fax_number": "770-801-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WATER PL SE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392041",
            "telephone_number": "770-801-0980",
            "fax_number": "770-801-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL ARTS AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-801-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048274",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "048274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Atlanta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.