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1902167935
DIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
ATLANTA, GA
NPI
1902167935
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Entity Type
Organization
Authorized Contact
KYWAIN REID
President
678-724-0862
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: GA 154999)
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
DIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
494 BOULEVARD SE
ATLANTA, GA 30312-3426
Phone number: 404-607-1002
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Mailing Address
DIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
4426 HUGH HOWELL RD STE B160
TUCKER, GA 30084-4918
Phone number: 678-724-0862
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