ELEVEN 11 MEDICAL MANAGEMENT, LLC

HAPEVILLE, GA
NPI1356616338
Entity TypeOrganization
Authorized ContactCYNTHIA TATE
Administrator
678-235-2401
Organization Subpart ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
Enumeration Date2012-03-09
Last Update Date2012-03-09
Business Address
ELEVEN 11 MEDICAL MANAGEMENT, LLC
438 HENRY FORD II AVE
HAPEVILLE, GA 30354-1622
Phone number: 678-235-2401
Mailing Address
ELEVEN 11 MEDICAL MANAGEMENT, LLC
438 HENRY FORD II AVE
HAPEVILLE, GA 30354-1622
Phone number: 678-235-2401