| NPI | 1255831293 |
|---|---|
| Former Legal Business Name | BRIDGE ATLANTA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY LANG Executive Director 678-280-6630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |