| NPI | 1609312487 |
|---|---|
| Doing Business As | TELEMD VIRTUAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK REZNIK Clinic Administrator 770-652-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |