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11D1049732 CLIA NUMBER - NEIGHBORMD OF SOUTH ATLANTA

Laboratory Demographics

CLIA Number: 11D1049732

Facility Name: NEIGHBORMD OF SOUTH ATLANTA

Facility Address:
3885 PRINCETON LAKES WAY, SW, STE 306
ATLANTA, GA
ZIP 30331
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Facility Phone Number: 561 770-2009

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1285235036

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D1049732
LAB Type Physician Office
Facility Name NEIGHBORMD OF SOUTH ATLANTA
Street 3885 PRINCETON LAKES WAY, SW, STE 306
City ATLANTA
State GA
ZIP 30331
Phone 561 770-2009
CertificateType 4
CertificateEffectiveDate 1/17/2024
CertificateExpirationDate 1/16/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024