Organization Name: | A B MEDICAL INVESTMENT-LLC |
NPI Number: | 1053684043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROMIE ROLAND (PRES) |
Mailing Address: | 1773 Sweetwater St Austell |
State: | GA US |
Postal Code: | 301063294 |
Phone Number: | 7708462238 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |