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1982095360
MODERN INTERNAL MEDICINE
ATLANTA, GA
NPI
1982095360
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Entity Type
Organization
Authorized Contact
DEANDRE GREEN
CEO
404-368-8655
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2015-02-06
Last Update Date
2015-02-06
Business Address
MODERN INTERNAL MEDICINE
2457 MARTIN LUTHER KING JR DR SW SUITE A
ATLANTA, GA 30311-1712
Phone number: 404-368-8655
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Mailing Address
MODERN INTERNAL MEDICINE
2457 MARTIN LUTHER KING JR DR SW SUITE A
ATLANTA, GA 30311-1712
Phone number: 404-368-8655
Copy
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